Willamette Falls Chiropractic Clinic, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

713327 Issued in OR

Legal business name

WILLAMETTE FALLS CHIROPRACTIC CLINIC, LLC

Practice address

1609 Willamette Falls Dr
West Linn, OR 97068-4544

Phone

(503) 656-1943

Fax

(503) 650-5808

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Iaboni, D.C., B.SC.NPI 1376614453

Title

Doctor

Phone

(503) 656-1943

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Patrick Iaboni, D.C., B.SC.

  • Sports Physician Chiropractor
  • West Linn, OR
  • NPI 1376614453

  Rehabilitation

  NPD (past) Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1215104385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684544",
            "telephone_number": "503-656-1943",
            "fax_number": "503-650-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684544",
            "telephone_number": "503-656-1943",
            "fax_number": "503-650-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE FALLS CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "IABONI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-656-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.SC."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "713327",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "713327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297980",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wild Oak Therapeutic Farm, LLC
• Paxton Marie Wilkinson
• Rachel Wilkinson, PT
• Willamette Clinic, LLC
• Willamette Eye Health LLC
• Willamette Falls Hospital (West Linn Internal Medicine)
• Willamette Nurse Consultant Group LLC
• Willamette Pain and Spine Center, PC
• Willamette Procedure Center PC
• Kelly Anne Williams, RN

• Rehabilitation Chiropractor in West Linn, OR
• Providers in West Linn, OR by specialty
• Rehabilitation Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.