Active NPI
Athena Paradise, D.C.
- Nutrition Chiropractor
- Portland, OR
National Provider Identifier
1457568958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 272272
- Practice address
- 1715 E Burnside St
Portland, OR 97214-1531 - Phone
- (503) 234-4622
- Fax
- (503) 788-6399
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272272 | OR | |
| Nutrition Chiropractor | 111NN1001X | 272272 | OR | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 272272 | OR |
Addresses
Primary practice location
1715 E Burnside St
Portland, OR 97214-1531
Mailing address
1715 E Burnside St
Portland, OR 97214-1531
Phone (503) 234-4622
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 |
|---|---|---|---|
| 272272 | OR | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457568958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141531",
"telephone_number": "503-234-4622",
"fax_number": "503-788-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141531",
"telephone_number": "503-234-4622",
"fax_number": "503-788-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARADISE",
"first_name": "ATHENA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "272272",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "272272",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OR",
"license": "272272",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.