Organization Active NPI

Whole Mama Whole Child

  • Chiropractor
  • Portland, OR
National Provider Identifier
1649400714
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273445 Issued in OR
Legal business name
WHOLE MAMA WHOLE CHILD
Practice address
5515 NE 30TH Ave
Portland, OR 97211-6805
Phone
(503) 282-1118
Fax
(503) 914-0417
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Amy L Watson, DC
Title
Chiropractor
Phone
(503) 282-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 273445 OR Primary

Addresses

Primary practice location

5515 NE 30TH Ave
Portland, OR 97211-6805

Mailing address

5515 NE 30TH Ave
Portland, OR 97211-6805
Phone (503) 282-1118

National Provider Directory

National Provider Directory

Locations

5515 NE 30th Ave
Portland, OR 97211
Phone (503) 282-1118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1649400714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116805",
            "telephone_number": "503-282-1118",
            "fax_number": "503-914-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116805",
            "telephone_number": "503-282-1118",
            "fax_number": "503-914-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MAMA WHOLE CHILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "503-282-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273445",
            "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 Jul 22, 2009; 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.