Nova Spinal Rehabilition LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NOVA SPINAL REHABILITION LLC

Doing business as

Oregon spine and disc

Practice address

6163 SW Murray Blvd
Beaverton, OR 97008-4421

Phone

(503) 626-3700

Fax

(503) 643-6667

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Jack Hamlin, DC

Title

Owner Director

Phone

(503) 896-6380

Specialties & licenses 1

Addresses

Other names 1

• Oregon spine and disc Doing business as

Locations

Practitioners 1

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

• Leif Jong Sik Choi, CHIROPRACTOR

  • Chiropractor
  • Beaverton, OR
  • NPI 1457488629
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1477968113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 SW MURRAY BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-626-3700",
            "fax_number": "503-643-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6163 SW MURRAY BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-626-3700",
            "fax_number": "503-643-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPINAL REHABILITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "503-896-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon spine and disc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northwest RTB9 LLC
• Northwest Surgical Development
• Ryan M. Norton, D.O.
• John Kennan Novack
• Novam-Nutrition LLC
• Novella Haven LLC Residential Care
• Dennis Nowack, DC
• Lindsey Nowacki, LCSW

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.