Mountain Park Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273146 Issued in OR

Legal business name

MOUNTAIN PARK CHIROPRACTIC PC

Practice address

9045 SW Barbur Blvd
Suite 108
Portland, OR 97219-4021

Phone

(503) 244-2722

Fax

(503) 245-8994

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Robert BachNPI 1710322557

Title

President

Phone

(503) 244-2722

Specialties & licenses 1

Addresses

Other names 1

• Robert D Bach Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bach, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1710322557
  NPD (past) Authorized official
• Dain P Cason, D.C., M.S., C.S.C.S.

  • Sports Physician Chiropractor
  • Portland, OR
  • NPI 1366782344
  NPD (past)
• David Anthony Picarello, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1205901188
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1467578062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD",
            "address_2": "SUITE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194021",
            "telephone_number": "503-244-2722",
            "fax_number": "503-245-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD",
            "address_2": "SUITE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194021",
            "telephone_number": "503-244-2722",
            "fax_number": "503-245-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PARK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-244-2722"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert D Bach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeleine Claire Leigh Moum
• Christine Moung-Wen, M.D.
• Eddie Mark Mounivong, MSW
• Mount Tabor Physical Therapy LLC
• Mountain Lake Wellness LLC
• Mountain Park Health Clinic
• Mountain Spring Health Clinic, LLC
• Mountain View Rehabilitation and Healthcare Center, LLC
• Mountainside Family Dentistry LLC
• Mountainside General Dentistry

• 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 May 16, 2014; 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.