Organization Active NPI

Lincoln Spine Center LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1467586834
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3568 Issued in OR
Legal business name
LINCOLN SPINE CENTER LLC
Practice address
10500 SW Greenburg Rd Ste 200
Portland, OR 97223-1406
Phone
(503) 684-9698
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Jeffrey K Tunick, DC
Title
Member
Phone
(503) 684-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3568 OR Primary

Addresses

Primary practice location

10500 SW Greenburg Rd Ste 200
Portland, OR 97223-1406

Mailing address

10500 SW Greenburg Rd Ste 200
Portland, OR 97223-1406
Phone (503) 684-9698

National Provider Directory

National Provider Directory

Locations

10500 SW Greenburg Rd
Ste 200
Tigard, OR 97223
Phone (503) 684-9698

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1467586834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SW GREENBURG RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972231406",
            "telephone_number": "503-684-9698",
            "fax_number": "503-213-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 SW GREENBURG RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972231406",
            "telephone_number": "503-684-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "TUNICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-684-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3568",
            "primary": true
        }
    ],
    "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 Dec 17, 2010; 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.