Hazel Dell Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAZEL DELL CHIROPRACTIC LLC

Practice address

8605 NE Highway 99 Ste 108
Vancouver, WA 98665-8921

Phone

(360) 258-1856

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Youngyun Kim, DCNPI 1124335070

Title

Chiropractor/Owner

Phone

(360) 258-1856

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youngyun Kim, D.C

  • Chiropractor
  • Beaverton, OR
  • NPI 1124335070
  NPD Authorized official
• Hanbyeol Chang, DC

  • Chiropractor
  • Portland, OR
  • NPI 1134018013
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1316643588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 NE HIGHWAY 99 STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658921",
            "telephone_number": "360-258-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 NE HIGHWAY 99 STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658921",
            "telephone_number": "360-258-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL DELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGYUN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "360-258-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Haynack
• Megan Nichole Hayne, LMT
• Amy Haynes
• Magdalynn Hays, CN
• Anne Hayward
• Hazel Dell Community Healthcare LLC (Hazel Dell Assisted Living)
• Hazel Dell Massage LLC (Hazel Dell Massage and Chiropractic)
• Hazel Dell Sports Medicine & Rehab Clinic PLLC (Forgey SportsMed & Rehab Clinic)
• Hazel Dell Therapeutic Massage
• Hazel Dell Ventures LLC (Prestige Assisted Living at Hazel Dell)

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.