Individual provider Active NPI

Amy Pohle, D.C.

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1245779958
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5837 Issued in OR
Practice address
15220 NW Greenbrier Pkwy Ste 260
Beaverton, OR 97006
Phone
(562) 961-7660
Fax
(503) 439-9494
NPI assigned
Feb 14, 2017
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33793 CA
Chiropractor 111N00000X 5581 KY
Chiropractor 111N00000X 5837 OR Primary

Addresses

Primary practice location

15220 NW Greenbrier Pkwy Ste 260
Beaverton, OR 97006

Mailing address

15220 NW Greenbrier Pkwy Ste 260
Beaverton, OR 97006-8111
Phone (503) 439-9494

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5581KYMDChiropractor
5837ORMDChiropractor
33793CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Road Chiropractic PC Chiropractor PastSince Jun 16, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1245779958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PKWY STE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068111",
            "telephone_number": "503-439-9494",
            "fax_number": "503-645-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PKWY STE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "562-961-7660",
            "fax_number": "503-439-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLE",
        "first_name": "AMY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33793",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5581",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.