Organization Active NPI

Ebensteiner Chiropractic LLC

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1487058764
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
5583 Issued in OR
Legal business name
EBENSTEINER CHIROPRACTIC LLC
Practice address
4111 NE Tillamook St
Portland, OR 97212-5342
Phone
(503) 281-3400
Fax
(503) 287-3787
NPI assigned
Oct 16, 2014
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Paul Ebensteiner
Title
President
Phone
(503) 593-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 5583 OR Primary

Addresses

Primary practice location

4111 NE Tillamook St
Portland, OR 97212-5342

Mailing address

4111 NE Tillamook St
Portland, OR 97212-5342
Phone (503) 281-3400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1487058764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125342",
            "telephone_number": "503-281-3400",
            "fax_number": "503-287-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125342",
            "telephone_number": "503-281-3400",
            "fax_number": "503-287-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENSTEINER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "EBENSTEINER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-593-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "5583",
            "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 12, 2015; 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.