Organization Active NPI

Susan Strom, DC, PC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1467649590
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
65 1461 Issued in OR
Legal business name
SUSAN STROM, DC, PC
Practice address
2456 NW Northrup St
Suite 1-a
Portland, OR 97210-3253
Phone
(503) 223-6414
Fax
(503) 243-6632
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Susan Elizabeth Strom, D.C.NPI 1154312205
Title
President
Phone
(503) 223-6414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 65 1461 OR Primary

Addresses

Primary practice location

2456 NW Northrup St
Suite 1-a
Portland, OR 97210-3253

Mailing address

2456 NW Northrup St
Suite 1-a
Portland, OR 97210-3253
Phone (503) 223-6414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1467649590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-223-6414",
            "fax_number": "503-243-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-223-6414",
            "fax_number": "503-243-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN STROM, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-223-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "65 1461",
            "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 Oct 2, 2007; 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.