Organization Active NPI

The Ridge Chiropractic Wellness Clinic

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1588014609
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3802 Issued in OR
Legal business name
THE RIDGE CHIROPRACTIC WELLNESS CLINIC
Practice address
1046 NE Orenco Station Pkwy
Hillsboro, OR 97124-7015
Phone
(503) 747-7473
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Joshua A Knutson, DC
Title
President
Phone
(503) 747-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3802 OR Primary

Addresses

Primary practice location

1046 NE Orenco Station Pkwy
Hillsboro, OR 97124-7015

Mailing address

1046 NE Orenco Station Pkwy
Hillsboro, OR 97124-7015
Phone (503) 747-7473

National Provider Directory

National Provider Directory

Locations

1046 NE Orenco Station Pkwy
Hillsboro, OR 97124
Phone (503) 381-5099

Practitioners & affiliated clinicians

Practitioners 2

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1588014609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 NE ORENCO STATION PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247015",
            "telephone_number": "503-747-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 NE ORENCO STATION PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247015",
            "telephone_number": "503-747-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIDGE CHIROPRACTIC WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-747-7473",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 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.