Affordable Health Care & Chiropractic Inc

Key facts

NPI

1255844908

Entity type

Organization (NPI type 2)

Primary specialty

Multi-Specialty Clinic/Center 261QM1300X

Legal business name

AFFORDABLE HEALTH CARE & CHIROPRACTIC INC

Practice address

2130 SE 96TH Ave
Portland, OR 97216-2603

Phone

(503) 261-8121

Fax

(503) 512-5384

NPI assigned

Nov 15, 2017

Organization subpart

No

Authorized official

Name

Fatima Magomadova

Title

President

Phone

(503) 740-8640

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• OneMedical Inc Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2020.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1255844908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SE 96TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162603",
            "telephone_number": "503-740-8640",
            "fax_number": "503-512-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SE 96TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162603",
            "telephone_number": "503-261-8121",
            "fax_number": "503-512-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HEALTH CARE & CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MAGOMADOVA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-740-8640"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneMedical Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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