Organization Active NPI

Jan Corwin, DC, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1578835211
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1658 Issued in OR
Legal business name
JAN CORWIN, DC, LLC
Practice address
316 NE 28TH Ave
Portland, OR 97232-3150
Phone
(503) 230-0812
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Jan Corwin, DC
Title
Owner
Phone
(503) 230-0812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1658 OR Primary

Addresses

Primary practice location

316 NE 28TH Ave
Portland, OR 97232-3150

Mailing address

316 NE 28TH Ave
Portland, OR 97232-3150
Phone (503) 230-0812

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1578835211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN CORWIN, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-230-0812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1658",
            "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 26, 2012; 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.