Pacific Coast Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2676 Issued in OR

Legal business name

PACIFIC COAST CHIROPRACTIC PC

Practice address

7755 Hwy 101 N
Ste F3
Gleneden Beach, OR 97388

Phone

(541) 952-4132

Fax

(503) 534-9050

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy D Hubbard, D.C.NPI 1942281647

Title

President

Phone

(541) 952-4132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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.

• Timothy Dale Hubbard, D.C.

  • Chiropractor
  • Gleneden Beach, OR
  • NPI 1942281647
  Medicare reassignment Authorized official
• Geovanny Vazquez, DC

  • Chiropractor
  • Sherwood, OR
  • NPI 1477304244
  Medicare reassignment NPD

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1578731659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "NEOTSU",
            "state": "OR",
            "postal_code": "973640281",
            "telephone_number": "541-952-4132",
            "fax_number": "503-534-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 HWY 101 N",
            "address_2": "STE F3",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "97388",
            "telephone_number": "541-952-4132",
            "fax_number": "503-534-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-952-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beachside Family Dentistry
• Else Dorine Ellens, PT
• Fran Diane Ferder, PH.D.
• Marcie Howard, LMT
• Timothy Dale Hubbard, D.C.
• Anita Lyn Peterson, LMT
• Renew Consulting, Inc.
• Nancy Leah Resnikoff, LMFT
• Kathleen Diane Rich, PHD LCSW
• Sara Vanwinkle

• Chiropractor in Gleneden Beach, OR
• Providers in Gleneden Beach, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.