Sally Green DC Lac PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-1666 Issued in OR

Legal business name

SALLY GREEN DC LAC PC

Practice address

923 NE Couch St
Portland, OR 97232-2926

Phone

(503) 236-9609

Fax

(503) 236-9609

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sally Green, DC

Title

Owner

Phone

(503) 236-9609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1437323185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322926",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322926",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY GREEN DC LAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-236-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-1666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salix Dermatology LLC
• Darrell J Salk, M.D.
• Jennifer D Salkoski, PSS
• Brian Scott Sallay, MD
• Maysee Dawn Salleva, M.D.
• Sally J Van Meter, Ma LPC, LLC
• Mitchell Brett Sally, M.D.
• Ali Raheem Salman
• Christa Alina Salmann, TREATMENT SPECIALIST
• Kasandra Salmeron, CHW

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

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