Organization Active NPI

NWMC Chiropractic and Wellness LLC

  • Rehabilitation Chiropractor
  • Portland, OR
National Provider Identifier
1083101679
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3923 Issued in OR
Legal business name
NWMC CHIROPRACTIC AND WELLNESS LLC
Practice address
10247 NE Clackamas St
Portland, OR 97220-3915
Phone
(503) 347-2581
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Richard Rogachevsky, DC
Title
Dr Chiropractor
Phone
(503) 206-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 3923 OR Primary

Addresses

Primary practice location

10247 NE Clackamas St
Portland, OR 97220-3915

Mailing address

10247 NE Clackamas St
Portland, OR 97220-3915
Phone (503) 347-2581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1083101679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 NE CLACKAMAS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203915",
            "telephone_number": "503-347-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10247 NE CLACKAMAS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203915",
            "telephone_number": "503-347-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWMC CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "ROGACHEVSKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DR CHIROPRACTOR",
        "authorized_official_telephone_number": "503-206-6078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.