Active NPI
Samantha E Stuart, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1386715548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 273420
- Practice address
- 11657 NE Glisan St
Portland, OR 97220-2264 - Phone
- (503) 252-3560
- Fax
- (503) 252-3199
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 273420 | OR | Primary |
Addresses
Primary practice location
11657 NE Glisan St
Portland, OR 97220-2264
Mailing address
4845 SE Vintage PL
Milwaukie, OR 97267-5961
Phone (503) 320-8542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273420 | OR | MD | Chiropractor |
| 3420 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Physicians and Rehabilitation PC | Chiropractor | Current | Accepting new patients |
| Chiropractic Physicians and Rehabilitation, PC | Chiropractor | Current | Accepting new patients |
| Sherwood Family Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
11657 NE Glisan St
Portland, OR 97220
Phone (503) 252-3560
Organizations & group practices 3
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.
-
- Chiropractor
- Portland, OR
- NPI 1538684519
-
- Chiropractor
- Portland, OR
- NPI 1164947149
-
- Chiropractor
- Sherwood, OR
- NPI 1427222025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386715548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 SE VINTAGE PL",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972675961",
"telephone_number": "503-320-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11657 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202264",
"telephone_number": "503-252-3560",
"fax_number": "503-252-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "SAMANTHA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273420",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.