Active NPI
Katanah Rose Grossman-Olson, D.C.
- Chiropractor
- Clackamas, OR
National Provider Identifier
1154345668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 71 3646
- Practice address
- 10001 SE Sunnyside Rd Ste 220
Clackamas, OR 97015-9739 - Phone
- (503) 908-0881
- Fax
- (503) 908-0891
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 71 3646 | OR | Primary |
Addresses
Primary practice location
10001 SE Sunnyside Rd Ste 220
Clackamas, OR 97015-9739
Mailing address
416 NW 13TH Ave Apt 210
Portland, OR 97209-2934
Phone (503) 961-5618
Other practice location 1
114 E Hancock St
Newberg, OR 97132-2822
Phone (503) 554-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71 3646 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Nora Aaron, ND, LLC | Past | Accepting new patients | |
| Newberg Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Clackamas, OR
- NPI 1407271414
-
- Chiropractor
- Newberg, OR
- NPI 1295844116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1154345668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NW 13TH AVE APT 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092934",
"telephone_number": "503-961-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 SE SUNNYSIDE RD STE 220",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159739",
"telephone_number": "503-908-0881",
"fax_number": "503-908-0891"
}
],
"practiceLocations": [
{
"address_1": "114 E Hancock St",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971322822",
"country_code": "US",
"telephone_number": "503-554-0661",
"fax_number": "503-554-9126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSMAN-OLSON",
"first_name": "KATANAH",
"middle_name": "ROSE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "71 3646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.