NPIMap

Organization Active NPI

Hillcrest Chiropractic Clinic

  • Orthopedic Chiropractor
  • Gresham, OR
National Provider Identifier
1184790073
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
27-3110 Issued in OR
Legal business name
HILLCREST CHIROPRACTIC CLINIC
Practice address
329 NE Hood Ave
Gresham, OR 97030-7449
Phone
(503) 491-0388
Fax
(503) 491-0784
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Ryan M Thomas, DC, DABCONPI 1760429732
Title
LLC Member
Phone
(503) 491-0388

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NX0800X 27-3110 OR Primary
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NX0800X 4394 CO

Addresses

Primary practice location

329 NE Hood Ave
Gresham, OR 97030-7449

Mailing address

329 NE Hood Ave
Gresham, OR 97030-7449
Phone (503) 491-0388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1184790073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307449",
            "telephone_number": "503-491-0388",
            "fax_number": "503-491-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307449",
            "telephone_number": "503-491-0388",
            "fax_number": "503-491-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "503-491-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DABCO"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "27-3110",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "4394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.