Bertik Chiropractic Enterprises, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3716 Issued in OR

Legal business name

BERTIK CHIROPRACTIC ENTERPRISES, LLC

Doing business as

Portland Center for Spinal Correction

Practice address

222 SE 8TH Ave
Portland, OR 97214-1206

Phone

(503) 236-3766

Fax

(503) 236-0014

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry D Shulak, DC

Title

Chiropractic Physician/Owner

Phone

(503) 236-3766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portland Center for Spinal Correction Doing business as

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1588801989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141206",
            "telephone_number": "503-236-3766",
            "fax_number": "503-236-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141206",
            "telephone_number": "503-236-3766",
            "fax_number": "503-236-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTIK CHIROPRACTIC ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SHULAK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-236-3766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (FILED AS AN INDEPENDENT CONTRACTOR)",
            "identifier": "1649466780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Center for Spinal Correction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Jae Bershon
• Sara C Bersi Armstrong, LMT
• Joe Louis Bertagnolli, LCSW
• Marcia Bertalot, ANP
• Jennifer S Bertapelle, LCSW
• Josi L Bertling, LMT
• James Mark Bertola
• Andrea Marie Bertoni, PHARMD
• Elvira Bertrand
• Juliana Bertucci

• 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 Jan 7, 2009; 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.