Active NPI
Conscious Healing Collective LLC
- Chiropractor
- Portland, OR
National Provider Identifier
1457056988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CONSCIOUS HEALING COLLECTIVE LLC
- Practice address
- 13019 SE Lincoln St
Portland, OR 97233-1435 - Phone
- (646) 740-1538
- NPI assigned
- Apr 3, 2023
- 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. Gretchen L Gatzke, DC
- Title
- Owner
- Phone
- (646) 740-1538
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Nutrition Chiropractor | 111NN1001X |
Addresses
Primary practice location
13019 SE Lincoln St
Portland, OR 97233-1435
Mailing address
13019 SE Lincoln St
Portland, OR 97233-1435
Phone (646) 740-1538
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Portland, OR
- NPI 1861107658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1457056988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13019 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331435",
"telephone_number": "646-740-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13019 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331435",
"telephone_number": "646-740-1538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSCIOUS HEALING COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "GATZKE",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-740-1538",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.