Pacific Crest Chiropractic and Wellness Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273045 Issued in OR

Legal business name

PACIFIC CREST CHIROPRACTIC AND WELLNESS CENTER PC

Practice address

2270 NW Troost St
Roseburg, OR 97471-6006

Phone

(541) 464-0808

Fax

(541) 464-0809

NPI assigned

Dec 27, 2007

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd J Hansen, D.C.NPI 1639110232

Title

President

Phone

(541) 464-0808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Todd Hansen, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1639110232
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1417131301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716006",
            "telephone_number": "541-464-0808",
            "fax_number": "541-464-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716006",
            "telephone_number": "541-464-0808",
            "fax_number": "541-464-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST CHIROPRACTIC AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-464-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Ottenheimer III, MD
• Margot Ouimette, PA
• David E. Owens, MD
• Markelle Owens
• Janice Owings, FNP
• Pacific Healthcare Services, P.C. (White Oak Medical Center)
• Jessica Padilla, CADCII QMHAII PSS CH
• Sarah A. Paeth, CNM
• Rebecca Michelle Page, M.S.
• Tiffany A Pagel

• Chiropractor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.