NPIMap

Organization Active NPI

Northwest Chiropractic and Medical Rehab

  • Chiropractor
  • Portland, OR
National Provider Identifier
1386089613
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5121 Issued in OR
Legal business name
NORTHWEST CHIROPRACTIC AND MEDICAL REHAB
Practice address
205 NE 181St Ave
Portland, OR 97230-6615
Phone
(503) 512-7076
Fax
(503) 512-7092
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Francesca Keijzer
Title
Office Manager
Phone
(503) 512-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5121 OR Primary

Addresses

Primary practice location

205 NE 181St Ave
Portland, OR 97230-6615

Mailing address

205 NE 181St Ave
Portland, OR 97230-6615
Phone (503) 512-7076

National Provider Directory

National Provider Directory
Tax ID family
Hinojosa Chiropractic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 NE 181st Ave
Portland, OR 97230
Phone (503) 512-7076

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1386089613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306615",
            "telephone_number": "503-512-7076",
            "fax_number": "503-512-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306615",
            "telephone_number": "503-512-7076",
            "fax_number": "503-512-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CHIROPRACTIC AND MEDICAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "KEIJZER",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-512-7076"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5121",
            "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 Apr 30, 2013; 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.