Organization Active NPI

Quale LLC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1568096873
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
QUALE LLC
Practice address
1895 NE 106TH Ave
Hillsboro, OR 97006-6485
Phone
(503) 547-8400
Fax
(503) 547-8402
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Steven QualeNPI 1205251220
Title
Owner/Operator
Phone
(503) 547-8400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1895 NE 106TH Ave
Hillsboro, OR 97006-6485

Mailing address

1895 NE 106TH Ave
Hillsboro, OR 97006-6485
Phone (503) 547-8400

Other names 1

  • Back To Basics Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hillsboro

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416002758 OR Part B Supplier - Clinic/Group Practice 3870923782 Receives reassigned benefits from 2 practitioners
Practice locations: Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

1895 NE 106th Ave
Hillsboro, OR 97006
Phone (503) 547-8400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1568096873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 NE 106TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-547-8400",
            "fax_number": "503-547-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 NE 106TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-547-8400",
            "fax_number": "503-547-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "QUALE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-547-8400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hillsboro",
            "affiliation": "N",
            "address_1": "1895 NE 106th Ave",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970066485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Back To Basics Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.