Gregg Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4055 Issued in OR

Legal business name

GREGG CHIROPRACTIC LLC

Practice address

4425 SW Corbett Ave
Portland, OR 97239-4260

Phone

(503) 225-9033

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sean Patrick Gregg, D.C

Title

Owner/Chiropractor

Phone

(503) 225-9033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1164778692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-225-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-225-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-225-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "4055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bri'Enne Marie Greenwell, OTR
• James D Greer
• Greg Osberg-Pate Therapy LLC
• Greg Schober PC
• Kaitlin Elizabeth Gregerson, CADC CANDIDATE
• Gregg F Reiter, PHD, PC
• James Kevin Gregg, D.C.
• Jessica Lampkin Gregg, MD
• Judith Ann Gregg, R.PH.
• Mandy Michelle Gregg, LMT

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.