Elite Chiropractic and Massage Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE CHIROPRACTIC AND MASSAGE CENTER

Practice address

1350 SE 122ND Ave
Portland, OR 97233-1203

Phone

(503) 889-0906

Fax

(503) 894-9557

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Alexi Gudishvili

Title

Manager

Phone

(646) 462-0407

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1205612793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331203",
            "telephone_number": "503-889-0906",
            "fax_number": "503-894-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331203",
            "telephone_number": "503-889-0906",
            "fax_number": "503-894-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC AND MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GUDISHVILI",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-462-0407"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatsu J Eliason
• Zoralya Alexandra Elisa
• Elise Wong
• Brandi Elise, LCSW
• Elite Body Therapy LLC
• Elite Chiropractic Group
• Elite Endodontics
• Elite Medical Center Chiropractic & Massage
• Elite Orthopaedic Physical Therapy and Sports Performance
• Elite Upper Cervical LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.