NPIMap

Organization Active NPI

Lisa Jewell DC LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1104332899
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5655 Issued in OR
Legal business name
LISA JEWELL DC LLC
Practice address
510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507
Phone
(503) 224-5010
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Dr. Lisa Jewell, DC
Title
Owner
Phone
(503) 224-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5655 OR Primary

Addresses

Primary practice location

510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507

Mailing address

510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507
Phone (503) 224-5010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1104332899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "503-224-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "503-224-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA JEWELL DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-224-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "5655",
            "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 Dec 18, 2017; 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.