Ibolit Manual Medicine PC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IBOLIT MANUAL MEDICINE PC.

Doing business as

Ibolit Manual Medicine PC.

Practice address

18633 SE Stark St Ste 205
Portland, OR 97233-5468

Phone

(503) 676-3131

Fax

(503) 676-3211

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Hope, N/A

Title

Clinic Manager

Phone

(971) 419-2066

Specialties & licenses 2

Addresses

Other names 1

• Ibolit Manual Medicine PC. Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Omar Alejandro Flores, DC

  • Chiropractor
  • Vancouver, WA
  • NPI 1669127916
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1245946854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 SE STARK STREET. BLDG A, SUITE 314",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "98233",
            "telephone_number": "971-419-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-676-3131",
            "fax_number": "503-676-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBOLIT MANUAL MEDICINE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "971-419-2066",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@ibolit.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "18633 SE Stark St Ste 314",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972335468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ibolit Manual Medicine PC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abeni Zara Ibbotson
• Shamiyah Ibe
• Emeilya Rose Iben, LMT
• Chukwuemeka Ibeneme
• Benahili B Iboaya
• Abdi Daud Ibrahim
• Aly Ibrahim, MD
• Laura Marie Ibsen, MD
• Jwana B Ibsies, CCP
• Icp Teledentistry

• 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 Jan 26, 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.