Elite Chiropractic Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE CHIROPRACTIC GROUP

Practice address

220 NW 8TH Ave
Portland, OR 97209

Phone

(360) 843-9028

Fax

(503) 336-1033

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Richard Rogachevsky, DC

Title

Partner

Phone

(360) 843-9028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1457904492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 NE TOMAHAWK ISLAND DR STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178095",
            "telephone_number": "360-843-9028",
            "fax_number": "503-336-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "360-843-9028",
            "fax_number": "503-336-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "ROGACHEVSKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-843-9028",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoralya Alexandra Elisa
• Elise Wong
• Brandi Elise, LCSW
• Elite Body Therapy LLC
• Elite Chiropractic and Massage Center
• Elite Endodontics
• Elite Medical Center Chiropractic & Massage
• Elite Orthopaedic Physical Therapy and Sports Performance
• Elite Upper Cervical LLC
• Eliza Rowley L.Ac.

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.