Individual provider Active NPI

Eric Christopher Hubbs, DC, CCST

  • Chiropractor
  • Aloha, OR
National Provider Identifier
1619029956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2913 Issued in OR
Practice address
17937 SW Tualatin Valley Hwy
Aloha, OR 97006-4441
Phone
(503) 591-5022
Fax
(503) 591-5023
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2913 OR Primary

Addresses

Primary practice location

17937 SW Tualatin Valley Hwy
Aloha, OR 97006-4441

Mailing address

2360 SW Augusta Dr
Aloha, OR 97006-1365
Phone (503) 848-0432

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
2913ORMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619029956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 SW AUGUSTA DR",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970061365",
            "telephone_number": "503-848-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 SW TUALATIN VALLEY HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970064441",
            "telephone_number": "503-591-5022",
            "fax_number": "503-591-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBS",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC, CCST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.