Active NPI
Deborah Ann Cherachanko, D.C.
- Radiology Chiropractor
- Tualatin, OR
National Provider Identifier
1043341167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 3484
- Practice address
- 6464 SW Borland Rd
Suite a-2
Tualatin, OR 97062-8876 - Phone
- (503) 563-5055
- Fax
- (503) 563-5049
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3484 | OR | |
| Chiropractor | 111N00000X | 18760 | CA | |
| Radiology Chiropractor | 111NR0200X | 3484 | OR | Primary |
| Radiology Chiropractor | 111NR0200X | 18760 | CA |
Addresses
Primary practice location
6464 SW Borland Rd
Suite a-2
Tualatin, OR 97062-8876
Mailing address
6464 SW Borland Rd
Suite a-2
Tualatin, OR 97062-8876
Phone (503) 563-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3484 | OR | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1043341167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6464 SW BORLAND RD",
"address_2": "SUITE A-2",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628876",
"telephone_number": "503-563-5055",
"fax_number": "503-563-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6464 SW BORLAND RD",
"address_2": "SUITE A-2",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628876",
"telephone_number": "503-563-5055",
"fax_number": "503-563-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERACHANKO",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3484",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18760",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "OR",
"license": "3484",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "18760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.