Portland Healing Space LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5084

Legal business name

PORTLAND HEALING SPACE LLC

Practice address

1830 NE Grand Ave
Portland, OR 97212-3912

Phone

(503) 894-9437

Fax

(503) 894-9437

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Giles, DC

Title

Owner/Chiropractor

Phone

(503) 894-9437

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1326453515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 NE GRAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123912",
            "telephone_number": "503-894-9437",
            "fax_number": "503-894-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 NE GRAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123912",
            "telephone_number": "503-894-9437",
            "fax_number": "503-894-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND HEALING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-894-9437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "5084",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Foot and Ankle Institute, LLC
• Portland Foot and Ankle, LLC
• Portland Gastroenterology Equipment (The Oregon Clinic Endoscopy Center - East)
• Portland Gynecologic Oncology, PC (Jana M. Reddoch,MD)
• Portland Headache & Facial Pain LLC
• Portland Health and Rehabilitation Psychology, LLC
• Portland Health and Wellness, LLC
• Portland Hearing Specialists, Inc. (Portland Hearing Aid Specialists)
• Portland Heartmind Counseling
• Portland Holistic Medicine, LLC

• 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 Jul 15, 2014; 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.