Organization Active NPI

City Fit Family Chiropractic Center LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1295971810
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3800 Issued in OR
Legal business name
CITY FIT FAMILY CHIROPRACTIC CENTER LLC
Practice address
510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507
Phone
(503) 224-5010
Fax
(503) 248-5626
NPI assigned
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Dr. Andrea L Herrst, DC
Title
Owner
Phone
(503) 224-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3800 OR Primary

Addresses

Primary practice location

510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507

Mailing address

510 SW 3Rd Ave Ste 210
Portland, OR 97204-2507
Phone (503) 224-5010

National Provider Directory

National Provider Directory

Locations

1022 SW Salmon St
Ste 430
Portland, OR 97205
Phone (503) 224-5010

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1295971810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "503-224-5010",
            "fax_number": "503-248-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "503-224-5010",
            "fax_number": "503-248-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY FIT FAMILY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "HERRST",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-224-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.