Jennifer Nicole Callaghan Oconnell, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5056 Issued in OR

Practice address

4800 S Macadam Ave Ste 260
Portland, OR 97239-3913

Phone

(503) 383-1423

NPI assigned

Jul 18, 2012

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Nicole Callaghan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oconnell Chiropractic LLC

  dba OConnell Chiropractic

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1639865637
  NPD Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1609121391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S MACADAM AVE STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393913",
            "telephone_number": "503-383-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S MACADAM AVE STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393913",
            "telephone_number": "503-383-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN OCONNELL",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CALLAGHAN",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Vincent Califano, DDS, PHD
• Angelo Lorenzo Calinga
• Mark D. Calkins, MD
• Roderick P. Calkins, PHD
• Sarah Call
• Kathleen Engels Callaghan, CCC-SLP
• Allison Garrity Callahan, PT, DPT
• Amara V. Callahan, O.D.
• Gwen Callahan, LMT
• James Robert Callahan, R.N.F.A.

• Sports Physician Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.