Blue Atlas Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLUE ATLAS CHIROPRACTIC LLC

Practice address

9315 SW Morrison St
Portland, OR 97225-6830

Phone

(503) 837-2225

Fax

(503) 961-1225

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Kate Herold, DC

Title

Owner/Chiropractor

Phone

(503) 837-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Katie Herold, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1316303951
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1598511735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 SW MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 SW MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256830",
            "telephone_number": "503-837-2225",
            "fax_number": "503-961-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ATLAS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-837-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1316303951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 29, 2024; 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.