Individual provider Active NPI

George John Cluen Jr., D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1609970656
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71 3676 Issued in OR
Practice address
3220 N Williams Ave
Portland, OR 97227-1551
Phone
(503) 282-4878
Fax
(503) 282-4888
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 71 3676 OR Primary

Addresses

Primary practice location

3220 N Williams Ave
Portland, OR 97227-1551

Mailing address

3220 N Williams Ave
Portland, OR 97227-1551
Phone (503) 282-4878

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
71 3676ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accident Chiropractic, PLLC Current Accepting new patients
Advanced Chiropractic Institute, L.L.C. Chiropractor Past Accepting new patients

Locations

3220 N Williams Ave
Portland, OR 97227
Phone (503) 243-1974

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1609970656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271551",
            "telephone_number": "503-282-4878",
            "fax_number": "503-282-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271551",
            "telephone_number": "503-282-4878",
            "fax_number": "503-282-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUEN",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3676",
            "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 Mar 10, 2015; 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.