Organization Active NPI

Attuned Vitality Co

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1255089314
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATTUNED VITALITY CO
Practice address
230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074
Phone
(503) 640-2800
NPI assigned
Mar 16, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Wendy Brackeen, DCNPI 1265475172
Title
President
Phone
(503) 507-5749

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074

Mailing address

230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074
Phone (503) 640-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927001437 OR Part B Supplier - Clinic/Group Practice 1153707245 Receives reassigned benefits from 3 practitioners
Practice locations: Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

230 NE 2nd Ave
Ste 1
Hillsboro, OR 97124
Phone (503) 640-2800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1255089314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NE 2ND AVE STE 1",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243074",
            "telephone_number": "503-640-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NE 2ND AVE STE 1",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243074",
            "telephone_number": "503-640-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTUNED VITALITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BRACKEEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-507-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.