Active NPI
Lynn Hakala, D.C.
- Internist Chiropractor
- Portland, OR
National Provider Identifier
1609007350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 2719
- Practice address
- 12019 SE Powell Blvd
Portland, OR 97266-1639 - Phone
- (503) 261-3863
- Fax
- (866) 857-0023
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2719 | OR | Primary |
Addresses
Primary practice location
12019 SE Powell Blvd
Portland, OR 97266-1639
Mailing address
PO Box 16635
Portland, OR 97292-0635
Phone (503) 261-3863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2719 | OR | MD | Internist Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1609007350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16635",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972920635",
"telephone_number": "503-261-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12019 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972661639",
"telephone_number": "503-261-3863",
"fax_number": "866-857-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKALA",
"first_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "OR",
"license": "2719",
"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 Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.