Chiropractic Center of Raleigh Hills PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 3304 Issued in OR

Legal business name

CHIROPRACTIC CENTER OF RALEIGH HILLS PC

Doing business as

Signature Health

Practice address

4475 SW Scholls Ferry Rd Ste 210
Portland, OR 97225-1978

Phone

(503) 292-0781

Fax

(503) 292-0786

NPI assigned

May 25, 2007

Last updated

Mar 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Tuttle, D.C.NPI 1023194792

Title

Proprietor

Phone

(503) 292-0781

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Signature Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 6

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.

• John SWC Tuttle, DC

  • Chiropractor
  • Portland, OR
  • NPI 1023194792
  Medicare reassignment NPD Authorized official
• Robert Burger, DACM LAC

  • Acupuncturist
  • Tigard, OR
  • NPI 1124612809
  NPD
• Tracy Brisbois, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1356153803
  NPD (past)
• Vickie Del-Rae Golab, L.AC.

  • Acupuncturist
  • Portland, OR
  • NPI 1285764084
  NPD (past)
• Justin Rooney

  • Massage Therapist
  • Portland, OR
  • NPI 1184021917
  NPD (past)
• Heejong Yoo, DC

  • Chiropractor
  • Beaverton, OR
  • NPI 1407286172
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1114138518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251978",
            "telephone_number": "503-292-0781",
            "fax_number": "503-292-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251978",
            "telephone_number": "503-292-0781",
            "fax_number": "503-292-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF RALEIGH HILLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "503-292-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276088",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractic Life Center PC (Chiropractic Life Center)
• Chiropractic Physicians and Rehabilitation PC
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• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.