NPIMap

Organization Active NPI

Centro Chiropractic Clinic, LLC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1255650925
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3709 Issued in OR
Legal business name
CENTRO CHIROPRACTIC CLINIC, LLC
Practice address
1075 SE Baseline St
Suite O
Hillsboro, OR 97123-4394
Phone
(503) 601-0210
Fax
(503) 601-0551
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Dr. David L Junkin I, DC
Title
Owner
Phone
(503) 601-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3709 OR Primary

Addresses

Primary practice location

1075 SE Baseline St
Suite O
Hillsboro, OR 97123-4394

Mailing address

1075 SE Baseline St
Suite O
Hillsboro, OR 97123-4394
Phone (503) 601-0210

National Provider Directory

National Provider Directory

Locations

1075 SE Baseline St
Ste O
Hillsboro, OR 97123
Phone (503) 442-2377

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1255650925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "SUITE O",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-601-0210",
            "fax_number": "503-601-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "SUITE O",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-601-0210",
            "fax_number": "503-601-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "JUNKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-601-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3709",
            "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 May 20, 2010; 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.