Individual provider Active NPI

Pamela Z. Paetzhold, D.C.

  • Chiropractor
  • West Linn, OR
National Provider Identifier
1356494314
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1820 Issued in OR
Practice address
1832 Willamette Falls Dr
West Linn, OR 97068-4660
Phone
(503) 557-8444
Fax
(503) 557-8461
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1820 OR Primary
Internist Chiropractor 111NI0900X 1820 OR
Naturopath 175F00000X 0634 OR
Acupuncturist 171100000X AC00073 OR

Addresses

Primary practice location

1832 Willamette Falls Dr
West Linn, OR 97068-4660

Mailing address

1832 Willamette Falls Dr
West Linn, OR 97068-4660
Phone (503) 557-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000436 OR Practitioner - Chiropractic 3476637380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Maximum Health Clinic II LLCGroup PAC ID 9234500059, 2 clinicians

Practice addresses (Care Compare)

1832 Willamette Falls Dr
West Linn, OR 97068-4550
Phone (503) 557-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC00073ORMDAcupuncturist
0634ORMDNaturopath
1820ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Health Clinic II LLC Chiropractor CurrentSince Oct 6, 2022 Accepting new patients

Locations

1832 Willamette Falls Dr
West Linn, OR 97068
Phone (503) 557-8444

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1356494314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684660",
            "telephone_number": "503-557-8444",
            "fax_number": "503-557-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684660",
            "telephone_number": "503-557-8444",
            "fax_number": "503-557-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAETZHOLD",
        "first_name": "PAMELA",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1820",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "OR",
            "license": "1820",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0634",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.