Inclusive Wellness and Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INCLUSIVE WELLNESS AND CHIROPRACTIC LLC

Practice address

3939 NE Hancock St
Portland, OR 97212-5321

Phone

(971) 599-3512

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Paulie Heisel, DCNPI 1740877687

Title

Owner

Phone

(541) 337-0171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Paulie D Heisel, DC

  • Chiropractor
  • Portland, OR
  • NPI 1740877687

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Garrett William McCarter, DC

  • Chiropractor
  • Tucson, AZ
  • NPI 1457078727
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1497414643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "971-599-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126022",
            "country_code": "US",
            "telephone_number": "971-599-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INCLUSIVE WELLNESS AND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HEISEL",
        "authorized_official_first_name": "PAULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-337-0171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Reach Speech-Language Therapy LLC
• Douye Vivien Inaibo
• Inclusion Inc.
• Inclusive Pediatrics
• Incredible Residential Services LLC
• Diane Inda
• Independence Navigation
• Independent Living Resources
• David W. Indest, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.