Blackbird Natural Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3597 Issued in OR

Legal business name

BLACKBIRD NATURAL HEALTH, LLC

Doing business as

Blackbird Chiropractic

Practice address

4425 SW Corbett Ave
Lower Level
Portland, OR 97239-4260

Phone

(503) 227-8700

Fax

(503) 227-8702

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By 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. Bobby Wayne Jones, D.C.NPI 1861484412

Title

President

Phone

(503) 227-8700

Specialties & licenses 1

Addresses

Other names 1

• Blackbird Chiropractic Doing business as

Locations

Practitioners 1

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.

• Bobby Wayne Jones, DC

  • Chiropractor
  • Portland, OR
  • NPI 1861484412
  Authorized official Same address or phone

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1326327206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "address_2": "LOWER LEVEL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-227-8700",
            "fax_number": "503-227-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "address_2": "LOWER LEVEL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-227-8700",
            "fax_number": "503-227-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD NATURAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-227-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackbird Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Black, RDN
• Tanya L Black, CRM/PSS
• Tyler Whitman Black, BA
• Walker Black
• Douglas P Blackall, MD
• Cody Blackburn
• Matthew Blackburn, M.D.
• Susan Jean Blacker, QMHA
• Brittany Blackford, ND
• Elizabeth Leah Blackford, DPT

• 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 Aug 10, 2011; 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.