Portland Specific Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PORTLAND SPECIFIC CHIROPRACTIC, LLC

Doing business as

Portland Specific Chiropractic

Practice address

5319 SW Westgate Dr Ste 126
Portland, OR 97221-2430

Phone

(503) 334-4545

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nikolai Allan Young, DCNPI 1285483354

Title

Clinic Director

Phone

(503) 334-4545

Specialties & licenses 1

Addresses

Other names 1

• Portland Specific Chiropractic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikolai Allan Young, DC

  • Chiropractor
  • Portland, OR
  • NPI 1285483354
  Authorized official Same address or phone
• Paulina Noelle Kaminski, DC

  • Chiropractor
  • Bothell, WA
  • NPI 1831957372
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1386483600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 126",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212430",
            "telephone_number": "503-334-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 126",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212430",
            "telephone_number": "503-334-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND SPECIFIC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NIKOLAI",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-334-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Specific Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Portland State University Center for Student Health and Counseling
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• 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 May 24, 2024; 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.