NPIMap

Organization Active NPI

Equilibrium

  • Chiropractor
  • Portland, OR
National Provider Identifier
1477794295
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3863 Issued in OR
Legal business name
EQUILIBRIUM
Practice address
1706 NW Glisan St Ste 5
Portland, OR 97209-2229
Phone
(503) 228-5000
Fax
(503) 228-5019
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Nicole Bhalerao, D.C.
Title
Owner/Chiropractor
Phone
(503) 228-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3863 OR Primary

Addresses

Primary practice location

1706 NW Glisan St Ste 5
Portland, OR 97209-2229

Mailing address

1706 NW Glisan St Ste 5
Portland, OR 97209-2229
Phone (503) 228-5000

National Provider Directory

National Provider Directory
Tax ID family
Equilibrium2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1706 NW Glisan St
Ste 5
Portland, OR 97209
Phone (503) 228-5000

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1477794295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092229",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092229",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "BHALERAO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-228-5000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3863",
            "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 Mar 9, 2009; 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.