Active NPI
Halbert Chiropractic, LLC
- Chiropractor
- Portland, OR
National Provider Identifier
1447639992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5636
- Legal business name
- HALBERT CHIROPRACTIC, LLC
- Practice address
- 11125 NE Sandy Blvd
Portland, OR 97220-2555 - Phone
- (503) 257-3377
- Fax
- (503) 257-3432
- NPI assigned
- May 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evan Halbert, D.C.
- Title
- Chiropractic Physician
- Phone
- (503) 257-3377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5636 | 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
National Provider Directory
National Provider DirectoryLocations
11125 NE Sandy Blvd
Portland, OR 97220
Phone (503) 257-3377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1447639992",
"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": {
"organization_name": "HALBERT CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "HALBERT",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "503-257-3377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "5636",
"primary": true
}
],
"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 May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.