Concussion & Whiplash Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1695 Issued in OR

Legal business name

CONCUSSION & WHIPLASH CLINIC, LLC

Practice address

7100 SW Hampton St Ste 121C
Tigard, OR 97223-8390

Phone

(503) 512-5359

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie Fay Nelson

Title

Admin

Phone

(503) 512-5359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1285023382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST STE 121C",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238390",
            "telephone_number": "503-512-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST STE 121C",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238390",
            "telephone_number": "503-512-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCUSSION & WHIPLASH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "503-512-5359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Combs, PSY.D.
• Comfort Medical, LLC
• Common Grace Counseling LLC
• Compassionate Counseling Center (Julie Russell Family Couseling)
• Jessica Compton, LCSW
• Eyllin Stephenie Conejo Palomares
• Connect Physical Therapy, LLC
• Connected Healthcare, Inc. (Signature Healthcare at Home)
• Isobel Conner, MS, QMHP, LPCI
• Matthew W Conrad

• Health Service Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.