Organization Active NPI

Clock Tower Chiropractic & Massage PC

  • Chiropractor
  • Wilsonville, OR
National Provider Identifier
1669802617
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23365 Issued in OR
Legal business name
CLOCK TOWER CHIROPRACTIC & MASSAGE PC
Practice address
8642 SW Main St
Suite #130
Wilsonville, OR 97070-6585
Phone
(503) 685-9841
Fax
(503) 682-9069
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Sarah Colby, DC
Title
Owner/Princicple Operator
Phone
(503) 685-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 23365 OR Primary

Addresses

Primary practice location

8642 SW Main St
Suite #130
Wilsonville, OR 97070-6585

Mailing address

PO Box 966
Wilsonville, OR 97070-0966
Phone (503) 685-9841

Other identifiers 1

IdentifierTypeStateIssuer
R134000OtherORMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

9375 SW Commerce Cir
Ste A100
Wilsonville, OR 97070
Phone (503) 685-9841

8642 SW Main St
Ste 130
Wilsonville, OR 97070
Phone (503) 685-9841

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1669802617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970700966",
            "telephone_number": "503-685-9841",
            "fax_number": "503-682-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 SW MAIN ST",
            "address_2": "SUITE #130",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706585",
            "telephone_number": "503-685-9841",
            "fax_number": "503-682-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOCK TOWER CHIROPRACTIC & MASSAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/PRINCICPLE OPERATOR",
        "authorized_official_telephone_number": "503-685-9841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "23365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R134000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.