Organization Active NPI

Rachel Wysocki LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1649928458
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RACHEL WYSOCKI LLC
Practice address
2455 NW Marshall St Ste 7B
Portland, OR 97210-2949
Phone
(503) 597-8719
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Rachel Wysocki, DCNPI 1770094260
Title
Owner
Phone
(518) 641-2591

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 Primary

Addresses

Primary practice location

2455 NW Marshall St Ste 7B
Portland, OR 97210-2949

Mailing address

146 SE 72ND Ave
Portland, OR 97215-1414
Phone (518) 641-2591

Other practice location 1

146 SE 72nd Ave
Portland, OR 97215-1414
Phone (518) 641-2591

National Provider Directory

National Provider Directory

Locations

2455 NW Marshall St
Ste 7B
Portland, OR 97210
Phone (503) 248-2125

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1649928458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SE 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151414",
            "telephone_number": "518-641-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST STE 7B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "503-597-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 SE 72nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972151414",
            "country_code": "US",
            "telephone_number": "518-641-2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACHEL WYSOCKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "WYSOCKI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-641-2591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 2, 2022; 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.