Nisreen Malik

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6037 Issued in OR

Practice address

20508 SW Roy Rogers Rd # C-115
Sherwood, OR 97140-9932

Phone

(503) 906-3585

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gehm Chiropractic ServicesGroup PAC ID 7012250087, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gehm Chiropractic Services

  • Clinic/Center
  • Camas, WA
  • NPI 1811453327
  Medicare reassignment Care Compare group NPD
• Sherwood Family Chiropractic Clinic

  • Chiropractor
  • Sherwood, OR
  • NPI 1427222025
  NPD (past)
• Hazel Dell Sports Medicine & Rehab Clinic PLLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1902930076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1033753165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 SW ROY ROGERS RD # C115",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409932",
            "telephone_number": "503-906-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 SW ROY ROGERS RD # C-115",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409932",
            "telephone_number": "503-906-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "NISREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Lowe, LMT
• Emily E Luis, D.P.T.
• Leatha Lorine Lynch, RPH, PHARMD
• Douglas Lytz
• Makenzie Maurice
• Jenna Mandzuk, L.AC.
• Deborah A Marinos
• Katlyn Marquess, LAC
• Bridget C Martin, MD
• Trevor Martin, DMD

• Chiropractor in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.