Embodied Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5638 Issued in OR

Legal business name

EMBODIED CHIROPRACTIC LLC

Practice address

1715 E Burnside St
Portland, OR 97214-1531

Phone

(971) 271-2459

NPI assigned

Jul 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mandy Marziaz, D.C.

Title

Owner/Chiropractor

Phone

(971) 271-2459

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1457736670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 NE 73RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136113"
        },
        {
            "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": "971-271-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MARZIAZ",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "971-271-2459",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "5638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makkedah-Satori Marielove Emanuel, PA-C
• Stephen Emanuel, RN
• Khaled Moh Emara, MD
• Embark Counseling NW, LLC
• Autumn Kay Embersong, LMT
• Embodied Life Therapy Center LLC
• Embodied Psychotherapy Inc
• Embodyment Counseling
• Embrace Counseling LLC
• Embrace Orthodontics, LLC

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.