Willamette Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILLAMETTE CHIROPRACTIC LLC

Practice address

702 John Adams St
Oregon City, OR 97045-1955

Phone

(503) 975-8014

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Darcelle Tetzlaff, DC

Title

Owner

Phone

(503) 975-8014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1124590088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451955",
            "telephone_number": "503-975-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451955",
            "telephone_number": "503-975-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "TETZLAFF",
        "authorized_official_first_name": "DARCELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-975-8014",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Bethany Janelle Wild
• Darcy Wild, MS, CFY-SLP
• Dylan Wile
• Bonnie Jean Wilkinson, RN
• Willamette Anesthesiology Group
• Willamette Falls Audiology, Inc
• Willamette Falls Family Medicine
• Willamette Falls Hospital
• Willamette Falls Hospital
• Willamette Falls Neuropsychology LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.