Active NPI
Zachary James Cullen, DC
- Rehabilitation Chiropractor
- Portland, OR
National Provider Identifier
1508648510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 6336
- Practice address
- 237 NE Broadway St
Portland, OR 97232-1126 - Phone
- (503) 432-1061
- Fax
- (888) 416-2818
- NPI assigned
- Oct 16, 2023
- Last updated
- Oct 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 6336 | OR | Primary |
Addresses
Primary practice location
237 NE Broadway St
Portland, OR 97232-1126
Mailing address
237 NE Broadway St
Portland, OR 97232-1126
Phone (503) 432-1061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6336 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1508648510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321126",
"telephone_number": "503-432-1061",
"fax_number": "888-416-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321126",
"telephone_number": "503-432-1061",
"fax_number": "888-416-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "ZACHARY",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OR",
"license": "6336",
"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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.