Active NPI
Skyline Integrative Medicine PC
- Chiropractor
- Portland, OR
National Provider Identifier
1639042153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SKYLINE INTEGRATIVE MEDICINE PC
- Practice address
- 224 S Hamilton St Ste 101
Portland, OR 97239-4784 - Phone
- (503) 222-5005
- Fax
- (503) 222-1039
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Ann Fletcher, DC, LAC
- Title
- Ceo
- Phone
- (541) 292-2787
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
224 S Hamilton St Ste 101
Portland, OR 97239-4784
Mailing address
224 S Hamilton St Ste 101
Portland, OR 97239-4784
Phone (503) 222-5005
National Provider Directory
National Provider DirectoryLocations
224 S Hamilton St
Ste 101
Portland, OR 97239
Phone (503) 222-5005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1639042153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S HAMILTON ST STE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394784",
"telephone_number": "503-222-5005",
"fax_number": "503-222-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S HAMILTON ST STE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394784",
"telephone_number": "503-222-5005",
"fax_number": "503-222-1039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE INTEGRATIVE MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-292-2787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, LAC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.