Active NPI
Kore Health LLC
Doing business as HealthSource of Portland East
- Massage Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 86224
- Legal business name
- KORE HEALTH LLC
- Doing business as
- HealthSource of Portland East
- Practice address
- 7817 SE Stark St
Portland, OR 97215-2339 - Phone
- (503) 975-5298
- Fax
- (503) 546-7496
- NPI assigned
- Dec 5, 2016
- Last updated
- Dec 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Quang Pham, DC
- Title
- Chiropractor
- Phone
- (503) 975-5298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 86224 | OR | Primary |
Addresses
Primary practice location
7817 SE Stark St
Portland, OR 97215-2339
Mailing address
7817 SE Stark St
Portland, OR 97215-2339
Phone (503) 975-5298
Other names 1
- HealthSource of Portland East
National Provider Directory
National Provider Directory- Tax ID family
- Healthsource of Portland East
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Portland, OR
- NPI 1255601258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480896000000",
"number": "1023552411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7817 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152339",
"telephone_number": "503-975-5298",
"fax_number": "503-546-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7817 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152339",
"telephone_number": "503-975-5298",
"fax_number": "503-546-7496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "QUANG",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "503-975-5298",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "86224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthSource of Portland East",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.