Active NPI
Laurel Leigh Johnson, DC, LAC, DIPL. OM
- Chiropractor
- Portland, OR
National Provider Identifier
1215104278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3904
- Practice address
- 1675 SW Marlow Ave
Ste 309
Portland, OR 97225-5104 - Phone
- (503) 597-7780
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3904 | OR | Primary |
| Acupuncturist | 171100000X | AC01256 | OR |
Addresses
Primary practice location
1675 SW Marlow Ave
Ste 309
Portland, OR 97225-5104
Mailing address
1675 SW Marlow Ave
Ste 309
Portland, OR 97225-5104
Phone (503) 597-7780
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01256 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic and Acupuncture LLC | Chiropractor | Past | Accepting new patients |
| Ace Chiropractic Nevada LTD | Chiropractor | Past | Accepting new patients |
| Deborah Thrall PT, LLC | Past | Accepting new patients | |
| Asset Resources LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Align Acupuncture and Chiropractic
- Chiropractor
- Beaverton, OR
- NPI 1457670515
-
dba Align Acupuncture and Chiropractic
- Chiropractor
- Beaverton, OR
- NPI 1235379108
-
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1881040731
-
dba Ace Chiropractic & Optimum Health For Life
- Chiropractor
- Henderson, NV
- NPI 1679738058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1215104278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE",
"address_2": "STE 309",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255104",
"telephone_number": "503-597-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE",
"address_2": "STE 309",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255104",
"telephone_number": "503-597-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAUREL",
"middle_name": "LEIGH",
"credential": "DC, LAC, DIPL. OM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3904",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.