NPIMap

Organization Active NPI

Clackamas Chiropractic Clinic PC

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1285274159
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLACKAMAS CHIROPRACTIC CLINIC PC
Practice address
14995 SE 82ND Dr
Clackamas, OR 97015-8699
Phone
(503) 657-6190
Fax
(503) 657-1152
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Jamie L Harris, DCNPI 1316021850
Title
President
Phone
(503) 657-6190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14995 SE 82ND Dr
Clackamas, OR 97015-8699

Mailing address

14995 SE 82ND Dr
Clackamas, OR 97015-8699
Phone (503) 657-6190

National Provider Directory

National Provider Directory

Locations

14995 SE 82nd Dr
Clackamas, OR 97015
Phone (503) 657-6190

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1285274159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158699",
            "telephone_number": "503-657-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158699",
            "telephone_number": "503-657-6190",
            "fax_number": "503-657-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-657-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 8, 2020; 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.