Mint Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MINT CHIROPRACTIC LLC

Practice address

14115 SE Division St
Portland, OR 97236-2628

Phone

(503) 841-6633

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Eddy Mydouangchanh, DC

Title

Owner

Phone

(503) 516-5916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1295615565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362628",
            "telephone_number": "503-841-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362628",
            "telephone_number": "503-841-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MYDOUANGCHANH",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-516-5916",
        "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": []
}

• Kevin Robert Minor, LCSW
• Kimberly Marie Minor, CRM
• Karen Gliceria Casumbal Minoza, MD
• Hannah Minsky
• Rachel Marie Minsky
• Mint Dental Works
• Rachel Minten
• Carolyn Minter, MD
• Nastashia Minto, OT ASSISTANT
• Kelli Minton

• 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 Sep 5, 2025; 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.