Active NPI
Sophie Erin Kaplan Mutch, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1518670520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6275
- Practice address
- 1744 SE Hawthorne Blvd
Portland, OR 97214-3723 - Phone
- (503) 432-1061
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6275 | OR | Primary |
Addresses
Primary practice location
1744 SE Hawthorne Blvd
Portland, OR 97214-3723
Mailing address
4519 SE 100TH Ave
Portland, OR 97266-2623
Phone (541) 971-1988
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 |
|---|---|---|---|
| 6275 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1518670520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 SE 100TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972662623",
"telephone_number": "541-971-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143723",
"telephone_number": "503-432-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN MUTCH",
"first_name": "SOPHIE",
"middle_name": "ERIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6275",
"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 Jan 4, 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.