NPIMap

Organization Active NPI

Bryan Baisinger, PC

Doing business as Clearwater Clinic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1083754659
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272919 Issued in OR
Legal business name
BRYAN BAISINGER, PC
Doing business as
Clearwater Clinic
Practice address
1201 SW 12TH Ave Ste 205
Portland, OR 97205-2035
Phone
(503) 279-0205
Fax
(503) 279-0206
NPI assigned
Feb 6, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Bryan F Baisinger, DCNPI 1245446970
Title
Owner
Phone
(503) 279-0205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 272919 OR Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 273550 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 0914 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1348 OR

Addresses

Primary practice location

1201 SW 12TH Ave Ste 205
Portland, OR 97205-2035

Mailing address

1201 SW 12TH Ave Ste 205
Portland, OR 97205-2035
Phone (503) 279-0205

Other names 1

  • Clearwater Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1201 SW 12th Ave
Ste 205
Portland, OR 97205
Phone (503) 279-0205

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1083754659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 12TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052035",
            "telephone_number": "503-279-0205",
            "fax_number": "503-279-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW 12TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052035",
            "telephone_number": "503-279-0205",
            "fax_number": "503-279-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BAISINGER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BAISINGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-279-0205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272919",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273550",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0914",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater Clinic",
            "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 Jun 30, 2008; 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.