Bobby Maybee DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5579 Issued in OR

Legal business name

BOBBY MAYBEE DC LLC

Practice address

1836 NE 7TH Ave Ste 103
Portland, OR 97212-3996

Phone

(805) 459-6277

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Maybee, DC

Title

President

Phone

(805) 459-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1295226918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123996",
            "telephone_number": "805-459-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123996",
            "telephone_number": "805-459-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY MAYBEE DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "MAYBEE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-459-6277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306855192",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Boatman, ATC
• Michele S Boatwright, M.D.
• Bob Neuner, Inc. Northwest Senior Management Services
• Nanci Natividad Bobadilla-Rivera
• Stephanie Lorraine Bobbitt, EFDA, RDA
• Lesley Nicole Bobek, M.D.
• Susanne K Bobenrieth, M.D.
• Nancy C Bobernac, LPC
• Michelle Lynn Bobowick, DR.
• Katelyn E Bobrowski, DO

• 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 Oct 12, 2018; 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.