Organization Active NPI

Core Balance Chiropractic Inc

Doing business as Core Balance

  • Chiropractor
  • Portland, OR
National Provider Identifier
1487998704
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE BALANCE CHIROPRACTIC INC
Doing business as
Core Balance
Practice address
1359 NE 35TH Ave
Portland, OR 97232-1941
Phone
(503) 395-0039
Fax
(503) 928-5812
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Stefanie Drozdowski, D.C.
Title
Owner
Phone
(503) 395-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1359 NE 35TH Ave
Portland, OR 97232-1941

Mailing address

1359 NE 35TH Ave
Portland, OR 97232-1941
Phone (503) 395-0039

Other names 1

  • Core Balance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1487998704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-395-0039",
            "fax_number": "503-928-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-395-0039",
            "fax_number": "503-928-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BALANCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "DROZDOWSKI",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-395-0039",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Balance",
            "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 Nov 27, 2012; 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.