Barry D Shulak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3716 Issued in OR

Practice address

1623 NE Broadway St
Portland, OR 97232-1425

Phone

(503) 313-2576

Fax

(503) 715-0511

NPI assigned

Sep 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Chiropractic First LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1134297146
  NPD (past)
• Evergreen Integrative Medicine, LLC

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1407237175
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1649466780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 SW APPLE WAY",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251783",
            "telephone_number": "503-245-8445",
            "fax_number": "503-292-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321425",
            "telephone_number": "503-313-2576",
            "fax_number": "503-715-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULAK",
        "first_name": "BARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Shubert
• Svetlana Shubina, LMT
• Nicole Shuck, RN
• Kathleen Ann Shuey, RN
• Hayley Shugart, APRN
• Katie Barton Shuler, MS OTR/L
• Malvina Shulik, RDH
• Sandra L. Shulmire, PSY.D.
• David H Shultis, LPC
• Olga Shults, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.