Jocelyn Kirnak, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-3077 Issued in OR

Legal business name

JOCELYN KIRNAK, INC.

Practice address

5201 SW Westgate Dr
Suite 119
Portland, OR 97221-2412

Phone

(503) 335-0449

Fax

(503) 292-6551

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jocelyn Kirnak, D.C.

Title

Owner

Phone

(503) 335-0449

Specialties & licenses 1

Addresses

Other names 1

• ActiveLife Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669699534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR",
            "address_2": "SUITE 119",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212412",
            "telephone_number": "503-335-0449",
            "fax_number": "503-292-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR",
            "address_2": "SUITE 119",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212412",
            "telephone_number": "503-335-0449",
            "fax_number": "503-292-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN KIRNAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRNAK",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-335-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveLife Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Joannini
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• 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 Aug 22, 2020; 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.