NPIMap

Organization Active NPI

McMillan Chiropractic, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1285056283
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5517 Issued in OR
Legal business name
MCMILLAN CHIROPRACTIC, LLC
Practice address
3808 N Williams Ave Ste 133
Portland, OR 97227-1478
Phone
(503) 445-1188
Fax
(503) 445-1189
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Kristin LH McMillan, DC
Title
Owner/Chiropractor
Phone
(503) 445-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5517 OR Primary

Addresses

Primary practice location

3808 N Williams Ave Ste 133
Portland, OR 97227-1478

Mailing address

3808 N Williams Ave Ste 133
Portland, OR 97227-1478
Phone (503) 445-1188

Other names 1

  • Renew Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1285056283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE STE 133",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271478",
            "telephone_number": "503-445-1188",
            "fax_number": "503-445-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE STE 133",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271478",
            "telephone_number": "503-445-1188",
            "fax_number": "503-445-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-445-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "5517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.