Sierra Dawn Ambrose-Delapp, DC
Individual provider Active NPI Chiropractor · Happy Valley, OR
NPI 1295385672 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1295385672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6023 (OR)
- Practice address
- 16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257 - Phone
- (503) 658-7715
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6023 | OR | MD | Chiropractor |
Interoperability endpoints
- sierra.ambrose-delapp.1@16834.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6023 | OR | Yes |
Addresses
Primary practice location
16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257
Mailing address
15691 SE Royer Rd
Damascus, OR 97089-2642
Phone (971) 227-1194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6023 | Medicaid | OR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DAMASCUS |
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.