Organization Active NPI

Hayden Island Chiropractic Pain & Injury Center LLC

Doing business as Adio Spinal Care

  • Chiropractor
  • Portland, OR
National Provider Identifier
1467966762
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAYDEN ISLAND CHIROPRACTIC PAIN & INJURY CENTER LLC
Doing business as
Adio Spinal Care
Practice address
700 N Hayden Island Dr Ste 335
Portland, OR 97217-8185
Phone
(503) 206-6775
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Gregory Philip Willard, D.C.NPI 1710372073
Title
Doctor of Chiropractic / Owner
Phone
(503) 206-6775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

700 N Hayden Island Dr Ste 335
Portland, OR 97217-8185

Mailing address

700 N Hayden Island Dr Ste 335
Portland, OR 97217-8185
Phone (503) 206-6775

Other names 1

  • Adio Spinal Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629003833 OR Part B Supplier - Clinic/Group Practice 0244699890 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

700 N Hayden Island Dr
Ste 335
Portland, OR 97217
Phone (503) 206-6775

700 N Hayden Island Dr
Portland, OR 97217

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": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1467966762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N HAYDEN ISLAND DR STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178185",
            "telephone_number": "503-206-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HAYDEN ISLAND DR STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178185",
            "telephone_number": "503-206-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN ISLAND CHIROPRACTIC PAIN & INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC / OWNER",
        "authorized_official_telephone_number": "503-206-6775",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adio Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.