Individual provider Active NPI

Hudson Pass Clark, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1407379860
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5833 Issued in OR
Practice address
7727 NE Glisan St
Portland, OR 97213-6360
Phone
(503) 490-5647
Fax
(503) 254-4749
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5833 OR Primary

Addresses

Primary practice location

7727 NE Glisan St
Portland, OR 97213-6360

Mailing address

7727 NE Glisan St
Portland, OR 97213-6360
Phone (503) 490-5647

Other practice location 1

5828 N Lombard St # B
Portland, OR 97203-4116
Phone (503) 490-5647

Other names 1

  • Hari Armit Singh Khalsa Former name

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

LicenseStateTypeSpecialty
5833ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Chiropractic and Wellness PC Single Specialty CurrentSince Apr 11, 2026 Accepting new patients

Locations

7727 NE Glisan St
Portland, OR 97213
Phone (503) 490-5647

5828 N Lombard St
#B
Portland, OR 97203
Phone (503) 490-5647

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1407379860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136360",
            "telephone_number": "503-490-5647",
            "fax_number": "503-254-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136360",
            "telephone_number": "503-490-5647",
            "fax_number": "503-254-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5828 N Lombard St # B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972034116",
            "country_code": "US",
            "telephone_number": "503-490-5647",
            "fax_number": "503-254-4749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HUDSON",
        "middle_name": "PASS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARI",
            "last_name": "KHALSA",
            "middle_name": "ARMIT SINGH",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 28, 2026; 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.