Impact Injury Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IMPACT INJURY CENTER, LLC

Practice address

460 N Villa Rd
Newberg, OR 97132-1800

Phone

(033) 056-5855

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Jeff Williams, DC

Title

Owner

Phone

(503) 899-7290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeffrey Mitchell Williams, D.C.

  • Chiropractor
  • Newberg, OR
  • NPI 1134439409
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1124547021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 105",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-482-5719",
            "fax_number": "503-482-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321800",
            "telephone_number": "033-056-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21887 SW Sherwood Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409412",
            "country_code": "US",
            "telephone_number": "503-305-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-899-7290",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Phuoc Huynh DO
• Timothy P Hyatt, N.D.
• Habiba Ibrahim
• Adesua Ilogienboh, RD
• Esther Im, NP
• Henry Inglesby
• Intercultural Center for Psychology LLC
• Timothy Steven Irmen, LCSW
• Erica Ironside
• Dale Richard Isaak, ATC

• Chiropractor in Newberg, OR
• Providers in Newberg, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.