Chirocare Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1248 Issued in OR

Legal business name

CHIROCARE CHIROPRACTIC CLINIC, PC

Practice address

10011 SE Division St Ste 200
Portland, OR 97266-1353

Phone

(503) 256-2654

Fax

(503) 256-2493

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Rhonda L Hathaway

Title

Secretary

Phone

(503) 256-2654

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Charles Richard Hathaway, D.C

  • Orthopedic Chiropractor
  • Portland, OR
  • NPI 1093896631
  Medicare reassignment

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1578847448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 SE DIVISION ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661353",
            "telephone_number": "503-256-2654",
            "fax_number": "503-256-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 SE DIVISION ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661353",
            "telephone_number": "503-256-2654",
            "fax_number": "503-256-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "503-256-2654"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1248",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark D Chipman, MD
• Chirgwin & Herriges, LLC
• John R Chirgwin, DMD
• Kathleen Michele Chirgwin, CRM
• Chiro One Wellness Center of Raleigh Hills LLC
• Marcella Kudzai Chiromo
• Chiropractic Art & Science LLC
• Chiropractic Auto Injury Clinic
• Chiropractic Center of Raleigh Hills PC (Signature Health)
• Chiropractic Healing Hands for You

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.