Youngs Bay Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

YOUNGS BAY CHIROPRACTIC LLC

Practice address

495 Olney Ave
Astoria, OR 97103-5524

Phone

(503) 468-0965

Fax

(503) 468-0931

NPI assigned

Mar 22, 2019

Last updated

Mar 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camille Beers, DCNPI 1952813909

Title

Owner

Phone

(503) 440-1303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camille Suzanne Beers, D.C.

  • Chiropractor
  • Astoria, OR
  • NPI 1952813909
  Medicare reassignment NPD Authorized official
• Chloe Christell Vasilakis Laws, DC

  • Chiropractor
  • Astoria, OR
  • NPI 1700557220
  NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1174083497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 OLNEY AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035524",
            "telephone_number": "503-468-0965",
            "fax_number": "503-468-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 OLNEY AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035524",
            "telephone_number": "503-468-0965",
            "fax_number": "503-468-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS BAY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-440-1303",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR STATE",
            "identifier": "5856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakima Valley Farm Workers Clinic (Coastal Family Health Center (Dental))
• Yakima Valley Farm Workers Clinic (Coastal Family Health Center)
• Yakima Valley Farm Workers Clinic (Coastal Family Health Center Pharmacy)
• Sarah Rene Yeater
• Paige M Young, LMT
• Joseph Lawrence Zagata, MD
• Eric Zimmermann, MD
• Chelsea Kae Zweber

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.