Anthony Quang Pham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5021 Issued in OR

Practice address

7817 SE Stark St
Portland, OR 97215-2339

Phone

(503) 975-5298

Fax

(503) 546-7496

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kore Health LLC

  • Chiropractor
  • Portland, OR
  • NPI 1396294518
  Medicare reassignment NPD Authorized official
• Kore Health LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1023552411
  NPD Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1255601258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152339",
            "telephone_number": "503-975-5298",
            "fax_number": "503-546-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152339",
            "telephone_number": "503-975-5298",
            "fax_number": "503-546-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANTHONY",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5021",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Pham, PHARMD
• Ali Hoang Pham, PHARM.D
• Andrew Toan Pham, LMT
• Anne Thy Vo Pham, PHARMD
• Anthony Nhut Pham, D.C.
• Antoine Pham, MD
• Christina Pham
• Christine Da-Thao Pham, RPH
• Christopher M Pham, MD
• Diep Ngoc Pham, DMD

• 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 Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.