NPIMap

Organization Active NPI

Koosman Chiropractic Clinic

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1295018729
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1807 Issued in OR
Legal business name
KOOSMAN CHIROPRACTIC CLINIC
Practice address
862 SE Oak St
Suite 3a
Hillsboro, OR 97123-4240
Phone
(503) 648-6997
Fax
(503) 648-0122
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Jeffrey Allen Koosman, DCNPI 1578513651
Title
Owner
Phone
(503) 648-6997

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 1807 OR Primary

Addresses

Primary practice location

862 SE Oak St
Suite 3a
Hillsboro, OR 97123-4240

Mailing address

862 SE Oak St
Suite 3a
Hillsboro, OR 97123-4240
Phone (503) 648-6997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1295018729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST",
            "address_2": "SUITE 3A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-6997",
            "fax_number": "503-648-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST",
            "address_2": "SUITE 3A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-6997",
            "fax_number": "503-648-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOSMAN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "KOOSMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-648-6997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.