Active NPI
Karl Ivo Poul, DC
- Chiropractor
- Oregon City, OR
National Provider Identifier
1164579363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1959
- Practice address
- 1205 Washington St
Oregon City, OR 97045 - Phone
- (503) 557-2225
- Fax
- (503) 557-2080
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1959 | OR | Primary |
Addresses
Primary practice location
1205 Washington St
Oregon City, OR 97045
Mailing address
PO Box 1382
1205 Washington St
Oregon City, OR 97045
Phone (503) 557-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10858 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1959 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| European Chiropractic Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Chiropractor
- Oregon City, OR
- NPI 1376701375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164579363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1382",
"address_2": "1205 WASHINGTON ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-557-2225",
"fax_number": "503-557-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 WASHINGTON ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-557-2225",
"fax_number": "503-557-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUL",
"first_name": "KARL",
"middle_name": "IVO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10858",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.