Lindsey Nicole Matusak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5926 Issued in OR

Practice address

1750 Blankenship Rd Ste 295
West Linn, OR 97068-5104

Phone

(503) 344-4378

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Revive Injury and Wellness, PC

  • Chiropractor
  • West Linn, OR
  • NPI 1952698680
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1639655012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 295",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685104",
            "telephone_number": "503-344-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 295",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685104",
            "telephone_number": "503-344-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSAK",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "5926",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Brother, L.Ac.
• Jordan Martin
• Tianna Renee Martinez, LMT
• Marylhurst Ear, Nose, Throat, Head & Neck Surgery
• Matthew a Roane DMD PC
• Kristen Maughan
• Maximum Health Clinic
• Maximum Health Clinic II LLC
• Tabitha Vashtie Maxwell, LMT
• Maureen J Mayfield, LMT

• Chiropractor in West Linn, OR
• Providers in West Linn, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.