Clackamette Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273352 Issued in OR

Legal business name

CLACKAMETTE CHIROPRACTIC PC

Practice address

619 High St
Oregon City, OR 97045-2240

Phone

(503) 656-4993

Fax

(503) 657-0411

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amy Loree Eades, DC

Title

Owner

Phone

(503) 656-4993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1326319351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 HIGH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452240",
            "telephone_number": "503-656-4993",
            "fax_number": "503-657-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 HIGH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452240",
            "telephone_number": "503-656-4993",
            "fax_number": "503-657-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMETTE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-656-4993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clackamas County
• Clackamas County
• Clackamas County Social Services Div
• Clackamas Surgical Associates, Inc.
• Clackamas Women'S Services
• Carly Rayne Clark, LPC
• Ronald Larson Clarke, M.D.
• Tiffani Rene Clausen
• Jennifer Ann Clay
• Paul K Clem

• Chiropractor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.