Organization Active NPI

Growing Care, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1386883536
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3798 Issued in OR
Legal business name
GROWING CARE, LLC
Practice address
4004 SE Woodstock Blvd
Portland, OR 97202-7662
Phone
(503) 777-0444
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Jessica Barr Desbrow, DC
Title
Owner, Operator
Phone
(503) 869-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3798 OR Primary

Addresses

Primary practice location

4004 SE Woodstock Blvd
Portland, OR 97202-7662

Mailing address

4004 SE Woodstock Blvd
Portland, OR 97202-7662
Phone (503) 777-0444

National Provider Directory

National Provider Directory

Locations

4004 SE Woodstock Blvd
Portland, OR 97202
Phone (503) 777-0444

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1386883536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027662",
            "telephone_number": "503-777-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027662",
            "telephone_number": "503-777-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "DESBROW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BARR",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "503-869-3389",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3798",
            "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 24, 2014; 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.