Active NPI
Kore Health LLC
Doing business as HealthSource of Portland East
- Chiropractor
- Portland, OR
National Provider Identifier
1396294518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5021
- Legal business name
- KORE HEALTH LLC
- Doing business as
- HealthSource of Portland East
Peak Chiropractic & Physical Medicine PDX - Practice address
- 7817 SE Stark St
Portland, OR 97215-2339 - Phone
- (503) 376-6279
- NPI assigned
- Sep 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Quang Pham, DC
- Title
- Owner
- Phone
- (503) 975-5298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5021 | OR | Primary |
Addresses
Primary practice location
7817 SE Stark St
Portland, OR 97215-2339
Mailing address
7817 SE Stark St
Portland, OR 97215-2339
Phone (503) 975-5298
Other names 2
- HealthSource of Portland East
- Peak Chiropractic & Physical Medicine PDX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Healthsource of Portland East
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Portland, OR
- NPI 1255601258
-
- Chiropractor
- Portland, OR
- NPI 1609470046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1396294518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7817 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152339",
"telephone_number": "503-975-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7817 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152339",
"telephone_number": "503-376-6279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-29",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "QUANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-975-5298",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "5021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthSource of Portland East",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peak Chiropractic & Physical Medicine PDX",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 24, 2026; 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.