Active NPI
Jean Ann Terrell, L.M.T.
- Chiropractor
- Portland, OR
National Provider Identifier
1437458619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5626
- Practice address
- 11125 NE Sandy Blvd
Portland, OR 97220-2555 - Phone
- (503) 257-3377
- Fax
- (503) 257-3432
- NPI assigned
- Mar 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5626 | OR | Primary |
Addresses
Primary practice location
11125 NE Sandy Blvd
Portland, OR 97220-2555
Mailing address
11125 NE Sandy Blvd
Portland, OR 97220-2555
Phone (503) 257-3377
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5626 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301184000000",
"number": "1437458619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202555",
"telephone_number": "503-257-3377",
"fax_number": "503-257-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202555",
"telephone_number": "503-257-3377",
"fax_number": "503-257-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "JEAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2011-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Sofia Gabriela Terrasas Sanchez, LMT
- David Terrault, CRNA
- Rocio Alejandra Terrazas Roda, RN
- Amanda Elaine Terrell, M.A.
- April S Terrell, CRNA
- Zulma Yatziri Terrones
- Terry L Isom DMD,PC
- Terry P Tobin OD PC (Cedar Mill Vision Center)
- Terry Ycasas, DC, LLC (Optimal Health Clinic)
- Ayla Terry-Mitchell, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.