NPIMap

Organization Active NPI

Blyss Chiropractic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1427337211
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLYSS CHIROPRACTIC
Practice address
111 SW Columbia St Ste 100
Portland, OR 97201-5848
Phone
(503) 222-0551
Fax
(503) 224-9619
NPI assigned
Aug 10, 2011
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Gretchen K Blyss, DCNPI 1982688545
Title
Owner/Physician
Phone
(503) 222-0551

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

111 SW Columbia St Ste 100
Portland, OR 97201-5848

Mailing address

111 SW Columbia St Ste 100
Portland, OR 97201-5848
Phone (503) 222-0551

National Provider Directory

National Provider Directory

Locations

111 SW Columbia St
Ste 100
Portland, OR 97201
Phone (503) 222-0551

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1427337211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW COLUMBIA ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015848",
            "telephone_number": "503-222-0551",
            "fax_number": "503-224-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW COLUMBIA ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015848",
            "telephone_number": "503-222-0551",
            "fax_number": "503-224-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYSS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BLYSS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-222-0551",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 19, 2020; 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.