Jasmin Medeiros, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5947 Issued in OR

Practice address

1359 NE 35TH Ave
Portland, OR 97232-1941

Phone

(503) 717-6538

Fax

(888) 847-1238

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Life Chiropractic and Massage LLCGroup PAC ID 1951390467, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Priority Life Chiropractic & Massage LLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1134344880
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1326516238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NE 122ND AVE APT 29",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302074",
            "telephone_number": "508-617-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-717-6538",
            "fax_number": "888-847-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "JASMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Medak, M.D.
• Clara Lynn Medalen, DC
• Jacob Paul Medearis
• Adelina Medeiros
• Erin R Medeiros, RN/QMHP-R
• Neil Medeiros, DC
• Allison S Medford, MA, ATR, LMFT, LPC
• Jacqueline Medford
• Medical Evaluations of Oregon-Washington
• Medical Teams International

• 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 Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.