NPIMap

Organization Active NPI

Hawthorne Chiropractic PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1144253139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2784 Issued in OR
Legal business name
HAWTHORNE CHIROPRACTIC PC
Practice address
1222 SE Division St
Portland, OR 97202-1017
Phone
(503) 231-9879
Fax
(503) 233-4732
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cliff Marhoefer, DCNPI 1669691226
Title
President
Phone
(503) 231-9879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2784 OR Primary

Addresses

Primary practice location

1222 SE Division St
Portland, OR 97202-1017

Mailing address

1222 SE Division St
Portland, OR 97202-1017
Phone (503) 231-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001229 OR Part B Supplier - Clinic/Group Practice 8628052727 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

1222 SE Division St
Portland, OR 97202
Phone (503) 231-9879

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144253139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARHOEFER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-231-9879",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2784",
            "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 Aug 22, 2020; 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.