NPIMap

Organization Active NPI

Columbia Gorge Chiropractic

  • Chiropractor
  • Troutdale, OR
National Provider Identifier
1508030420
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 3088 Issued in OR
Legal business name
COLUMBIA GORGE CHIROPRACTIC
Practice address
233 E Columbia River Hwy
Troutdale, OR 97060-2078
Phone
(503) 491-9266
Fax
(503) 491-0547
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Dodi Lynn Simons, DC
Title
President
Phone
(503) 491-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27 3088 OR Primary

Addresses

Primary practice location

233 E Columbia River Hwy
Troutdale, OR 97060-2078

Mailing address

233 E Columbia River Hwy
Troutdale, OR 97060-2078
Phone (503) 491-9266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1508030420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602078",
            "telephone_number": "503-491-9266",
            "fax_number": "503-491-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602078",
            "telephone_number": "503-491-9266",
            "fax_number": "503-491-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA GORGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "DODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-491-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutdale, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.