Organization Active NPI

Empowered Health LLC

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1275802589
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3888 Issued in OR
Legal business name
EMPOWERED HEALTH LLC
Practice address
11804 SE Sunnyside Rd
Clackamas, OR 97015-9308
Phone
(503) 454-0782
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Kimberly Jameson, D.C.
Title
Chiropractor/Clinic Owner
Phone
(503) 454-0782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3888 OR Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4098 OR

Addresses

Primary practice location

11804 SE Sunnyside Rd
Clackamas, OR 97015-9308

Mailing address

11804 SE Sunnyside Rd
Clackamas, OR 97015-9308
Phone (503) 454-0782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1275802589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11804 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159308",
            "telephone_number": "503-454-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11804 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159308",
            "telephone_number": "503-454-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIROPRACTOR/CLINIC OWNER",
        "authorized_official_telephone_number": "503-454-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3888",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.