Organization Active NPI

Leavitt Chiropractic LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1346407244
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
273413 Issued in OR
Legal business name
LEAVITT CHIROPRACTIC LLC
Practice address
1706 NW Glisan St Ste 5
Portland, OR 97209-2225
Phone
(503) 228-5000
Fax
(503) 228-5019
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Randall Hugh Leavitt, D.C.NPI 1982787891
Title
Owner
Phone
(503) 816-2184

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
Health Service Clinic/Center 261QH0100X 273413 OR Primary

Addresses

Primary practice location

1706 NW Glisan St Ste 5
Portland, OR 97209-2225

Mailing address

1706 NW Glisan St Ste 5
Portland, OR 97209-2225
Phone (503) 228-5000

National Provider Directory

National Provider Directory

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1346407244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092225",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092225",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-816-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "273413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.