Organization Active NPI

Halbert Chiropractic, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1447639992
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5636 Issued in OR
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

Updated by the provider on May 29, 2015

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.