Organization Active NPI

Integrity Auto & Work Injury Chiropractic Clinic

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1558816256
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRITY AUTO & WORK INJURY CHIROPRACTIC CLINIC
Practice address
2155 NW 173Rd Ave
Suite 104
Beaverton, OR 97006-3563
Phone
(503) 352-0735
Fax
(503) 352-0734
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Mansour Hossein, D.C.NPI 1780816876
Title
President/Owner
Phone
(503) 352-0735

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 NU Primary

Addresses

Primary practice location

2155 NW 173Rd Ave
Suite 104
Beaverton, OR 97006-3563

Mailing address

2155 NW 173Rd Ave
Suite 104
Beaverton, OR 97006-3563
Phone (503) 352-0735

National Provider Directory

National Provider Directory

Locations

2155 NW 173rd Ave
Ste 104
Beaverton, OR 97006
Phone (503) 352-0735

Practitioners & affiliated clinicians

Practitioners 5

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1558816256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735",
            "fax_number": "503-352-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735",
            "fax_number": "503-352-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY AUTO & WORK INJURY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "HOSSEIN",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-352-0735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.