Organization Active NPI

Rene St. Cyr Chiropractic Physician

  • Chiropractor
  • Portland, OR
National Provider Identifier
1518233014
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3003 Issued in OR
Legal business name
RENE ST. CYR CHIROPRACTIC PHYSICIAN
Practice address
4111 NE. Tillamook St.
Portland, OR 97212-5342
Phone
(503) 281-3400
Fax
(503) 287-3787
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Mr. Rene Carl St. Cyr, D.C.NPI 1568415248
Title
Chiropractor
Phone
(503) 281-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-3003 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

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1518233014",
    "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": "RENE ST. CYR CHIROPRACTIC PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "ST. CYR",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "503-281-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3003",
            "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 29, 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.