Agger Chiropractic Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AGGER CHIROPRACTIC CLINIC LLC

Practice address

2705 E Burnside St Ste 100
Portland, OR 97214-1767

Phone

(503) 236-1304

Fax

(503) 236-3182

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jo Ellen Pachelbel, LMT

Title

Co-Owner/Office Manager

Phone

(503) 310-9443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon John Agger, DC

  • Chiropractor
  • Portland, OR
  • NPI 1427014364
  Medicare reassignment NPD

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1386819977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141767",
            "telephone_number": "503-310-9443",
            "fax_number": "503-236-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141767",
            "telephone_number": "503-236-1304",
            "fax_number": "503-236-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGER CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "PACHELBEL",
        "authorized_official_first_name": "JO ELLEN",
        "authorized_official_title_or_position": "CO-OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "503-310-9443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince Roland Agbonze
• Leah Francine Agcaoili
• Travis Lee Agee, DMD
• Shaun Lowell Ageno, M.D.
• Lakshmi C Aggarwal, MD
• Simon John Agger, DC
• Kareem Aggour, M.D.
• Kristy Merck Aghayan, PA-C
• Aging Simplified LLC
• Miriam Agisim, MD

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.