Steve M Kingston DC PC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2039 Issued in OR

Legal business name

STEVE M KINGSTON DC PC

Doing business as

Mt. Tabor Chiropractic Cente

Practice address

4351 SE Hawthorne Blvd
Portland, OR 97215-3162

Phone

(503) 236-1528

Fax

(503) 236-3701

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steve M Kingston, DC

Title

Owner

Phone

(503) 236-1528

Specialties & licenses 1

Addresses

Other names 1

• Mt. Tabor Chiropractic Cente Doing business as

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1639367956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153162",
            "telephone_number": "503-236-1528",
            "fax_number": "503-236-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153162",
            "telephone_number": "503-236-1528",
            "fax_number": "503-236-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE M KINGSTON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-236-1528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Tabor Chiropractic Cente",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Sterry, PMHNP - BC
• Kimberly Stetson, MA, LPC INTERN, CADC
• Kaitlyn Anne Stettnichs, MD
• Christina Marie Steurer, N.P., R.N.
• Steve Hand LCSW (Steven Hand LCSW)
• Steven Balshem, LCSW - LLC
• Steven R. Muir, Ma LPC
• Brenna Lynn Steven
• Tyler West Stevens-Scanlan
• Amanda Lee Stevens, FNP-C

• Nutrition Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Nutrition Chiropractor in Oregon

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