Organization Active NPI

Portland Injury &Rehab Center

  • Chiropractor
  • Portland, OR
National Provider Identifier
1396865549
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2002 Issued in OR
Legal business name
PORTLAND INJURY &REHAB CENTER
Practice address
6230 NE Halsey St
Portland, OR 97213-4718
Phone
(503) 236-8697
Fax
(503) 236-1525
NPI assigned
Mar 30, 2007
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Dorian Duane Quinn, DCNPI 1003056953
Title
Clinic Director
Phone
(503) 236-8697

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27-2002 OR Primary

Addresses

Primary practice location

6230 NE Halsey St
Portland, OR 97213-4718

Mailing address

6230 NE Halsey St
Portland, OR 97213-4718
Phone (503) 236-8697

National Provider Directory

National Provider Directory

Locations

6230 NE Halsey St
Portland, OR 97213
Phone (503) 236-8697

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1396865549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134718",
            "telephone_number": "503-236-8697",
            "fax_number": "503-236-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134718",
            "telephone_number": "503-236-8697",
            "fax_number": "503-236-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND INJURY &REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-236-8697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2002",
            "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 Aug 14, 2008; 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.