Trevor William Hollingsworth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5736 Issued in OR

Practice address

11507 SW Shilo LN Ste E
Portland, OR 97225-5923

Phone

(503) 643-2225

Fax

(503) 520-0514

NPI assigned

Jun 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Injury Care and Movement Therapy LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1386924934
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1518317874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 SW SPRINGWOOD DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233318",
            "telephone_number": "971-241-6181",
            "fax_number": "503-520-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN STE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "TREVOR",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Holliman, LMT
• Laramie Holliman, RN
• Ashley Hollingshead
• Kendra Glattier Hollingsworth, MFT GRADUATE STUDENT
• Kimberly Paige Hollingsworth, BA
• Eileen L Hollins, M.S.
• Ryan C Hollister, LPC
• Bryan Hollmann
• Leah Kathleen Hollon, LEAH HOLLON, ND, MPH
• Carrie Holloran, MA, LPC

• 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 17, 2016; 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.