Wholeness Emergent LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WHOLENESS EMERGENT LLC

Practice address

1318 NW 20TH Ave Ste A5
Portland, OR 97209-1671

Phone

(503) 741-9285

Fax

(855) 426-8566

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Laura Jean Kerr, DC

Title

Member

Phone

(503) 741-9285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1285337170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 NW 20TH AVE STE A5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091671",
            "telephone_number": "503-741-9285",
            "fax_number": "855-426-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 NW 20TH AVE STE A5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091671",
            "telephone_number": "503-741-9285",
            "fax_number": "855-426-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS EMERGENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-741-9285",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.