Prolific Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROLIFIC WELLNESS

Practice address

4850 SW Scholls Ferry Rd Ste 202
Portland, OR 97225-1692

Phone

(503) 877-3199

Fax

(503) 212-9799

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Tony Tran, DC, MS, CCSPNPI 1649717695

Title

Chiropractic Physician

Phone

(503) 877-3199

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Tony Tran, DC

  • Chiropractor
  • Portland, OR
  • NPI 1649717695
  NPD Authorized official
• Christine Lynn Booren, ND

  • Naturopath
  • Portland, OR
  • NPI 1669537742
  NPD (past)
• Nicole Daddona, N.D.

  • Naturopath
  • Long Beach, CA
  • NPI 1457536682
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1609403898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SE 69TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233507",
            "telephone_number": "503-334-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251692",
            "telephone_number": "503-877-3199",
            "fax_number": "503-212-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-877-3199",
        "authorized_official_credential": "DC, MS, CCSP"
    },
    "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": "BOARD LICENSE",
            "identifier": "5782",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Project Quest
• Project Quest
• Andrea Prokop, MD
• Ingmar Klaseen Prokop, M.D.
• Joao Prola Netto, M.D.
• Promuveo LLC
• Jordin Whitney Pronath-Holden
• Aumyot Prongdong, MD
• Justin Eric Pronovost
• Bridgette Alexandra Pronozuk

• 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 23, 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.