Organization Active NPI

Columbia Chiropractic LLC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1649701566
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5676 Issued in OR
Legal business name
COLUMBIA CHIROPRACTIC LLC
Practice address
1075 SE Baseline St
Ste D
Hillsboro, OR 97123-4394
Phone
(503) 601-0210
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. Christopher Prouty, D.C.NPI 1669842738
Title
President
Phone
(971) 217-2175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5676 OR Primary

Addresses

Primary practice location

1075 SE Baseline St
Ste D
Hillsboro, OR 97123-4394

Mailing address

1075 SE Baseline St
Ste D
Hillsboro, OR 97123-4394
Phone (503) 601-0210

Other names 1

  • Hillsboro Centro Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1075 SE Baseline St
Ste D
Hillsboro, OR 97123
Phone (503) 601-0210

Practitioners & affiliated clinicians

Practitioners 1

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1649701566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "STE D",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-601-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "STE D",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-601-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "PROUTY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-217-2175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Centro Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.