Active NPI
Jacob Plasker, DC
- Neurology Chiropractor
- Portland, OR
National Provider Identifier
1417403361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 5745
- Practice address
- 11507 SW Shilo LN
Portland, OR 97225-5923 - Phone
- (503) 643-2225
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 5745 | OR | Primary |
Addresses
Primary practice location
11507 SW Shilo LN
Portland, OR 97225-5923
Mailing address
20 SW Murray Blvd
Beaverton, OR 97005-0666
Phone (404) 909-5764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5745 | Other | OR | OREGON BOARD OF CHIROPRACTIC EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5745 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1417403361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SW MURRAY BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050666",
"telephone_number": "404-909-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11507 SW SHILO LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255923",
"telephone_number": "503-643-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASKER",
"first_name": "JACOB",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OR",
"license": "5745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "5745",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Planned Parenthood of the Columbia/Willamette, Inc. (Planned Parenthood Columbia Willamette)
- Megan Diane Plante, PT
- Planted in Health LLC
- Donald Plapinger, CCC-A
- Mariela Plascencia, CMA
- Alexander Dionysios Platanias
- Angelina A. Platas, M.D.
- Alexandra Marie Platt
- Christopher T Platt, RN
- Elizabeth Christine Kern Platt, L.AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.