NPIMap

Organization Active NPI

NW Family Wellness Center, LLC

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1215375142
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3227 Issued in OR
Legal business name
NW FAMILY WELLNESS CENTER, LLC
Practice address
10117 SE Sunnyside Rd
Ste F709
Clackamas, OR 97015-7708
Phone
(503) 887-7725
Fax
(503) 406-2550
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Mary T. Coleman, DCNPI 1568408706
Title
Owner
Phone
(503) 887-7725

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3227 OR Primary

Addresses

Primary practice location

10117 SE Sunnyside Rd
Ste F709
Clackamas, OR 97015-7708

Mailing address

10365 SE Sunnyside Rd
Ste 210
Clackamas, OR 97015-5741
Phone (503) 887-7725

National Provider Directory

National Provider Directory

Locations

10117 SE Sunnyside Rd
Ste F709
Clackamas, OR 97015
Phone (503) 887-7725

10365 SE Sunnyside Rd
Ste 210
Clackamas, OR 97015
Phone (503) 887-7725

Practitioners & affiliated clinicians

Practitioners 7

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": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1215375142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD",
            "address_2": "STE 210",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155741",
            "telephone_number": "503-887-7725",
            "fax_number": "503-406-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD",
            "address_2": "STE F709",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-887-7725",
            "fax_number": "503-406-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-887-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.