Organization Active NPI

Power Chiropractic Clinic

  • Chiropractor
  • Happy Valley, OR
National Provider Identifier
1326327404
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 - 3057 Issued in OR
Legal business name
POWER CHIROPRACTIC CLINIC
Practice address
8305 SE Monterey Ave Ste 104
Happy Valley, OR 97086-7728
Phone
(503) 786-7786
Fax
(503) 786-7191
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Dr. Michael William Hickel, DCNPI 1023140969
Title
Owner
Phone
(503) 786-7786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27 - 3057 OR Primary

Addresses

Primary practice location

8305 SE Monterey Ave Ste 104
Happy Valley, OR 97086-7728

Mailing address

8305 SE Monterey Ave Ste 104
Happy Valley, OR 97086-7728
Phone (503) 786-7786

Other identifiers 1

IdentifierTypeStateIssuer
1023140969OtherORNPI (TYPE1) 1023140969

Other names 1

  • Hickel Chiriopractic Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

8305 SE Monterey Ave
Ste 104
Portland, OR 97086
Phone (503) 786-7786

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1326327404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867728",
            "telephone_number": "503-786-7786",
            "fax_number": "503-786-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867728",
            "telephone_number": "503-786-7786",
            "fax_number": "503-786-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "HICKEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-786-7786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 - 3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE1) 1023140969",
            "identifier": "1023140969",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickel Chiriopractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.