Individual provider Active NPI

Austin Alec Nolan, DC MS

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1093273906
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5978 Issued in OR
Practice address
2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975
Phone
(503) 678-4357
NPI assigned
Mar 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5978 OR Primary

Addresses

Primary practice location

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975

Mailing address

1315 NE 71St Ave
Portland, OR 97213-5458
Phone (580) 284-9796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528000664 OR Practitioner - ChiropracticPractitioner - Sports Medicine 6406199827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Western States College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Center for Chiropractic and Pain Rehabilitation, LLCGroup PAC ID 5991603268, 5 clinicians

Practice addresses (Care Compare)

3241 NE Broadway St
Portland, OR 97232-1814
Phone (503) 282-8582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Chiropractic & Pain Rehabilitation, LLC CurrentSince Jul 21, 2022 Accepting new patients
Corazon Chiropractic Clinic, LLC Chiropractor Past Accepting new patients

Locations

3241 NE Broadway St
Portland, OR 97232
Phone (503) 267-9080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1093273906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NE 71ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135458",
            "telephone_number": "580-284-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237975",
            "telephone_number": "503-678-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "AUSTIN",
        "middle_name": "ALEC",
        "name_prefix": "Dr.",
        "credential": "DC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.