KC Snellgrove

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

27 1956 Issued in OR

Legal business name

KC SNELLGROVE

Practice address

1359 NE 35TH Ave
Portland, OR 97232-1941

Phone

(503) 232-7460

Fax

(503) 232-0203

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

KC Snellgrove, D.C.

Title

Owner

Phone

(503) 232-7460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastside Chiropractic Center Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609092899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-232-7460",
            "fax_number": "503-232-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-232-7460",
            "fax_number": "503-232-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC SNELLGROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNELLGROVE",
        "authorized_official_first_name": "KC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-232-7460",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "27 1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1033217609",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Kayser
• Melody Dance Kayser
• Marissa Ann Kayton, QMHA
• Corinne Elizabeth Kaz
• KB LLC Dba Senior Helpers of Portland
• Kci USA, Inc.
• Monica Chan Kdep
• Bory Kea, M.D.
• Toby Ji Keagy
• Jaime E Kean, MD

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.