Active NPI
Lee Nmi McCaffrey, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1679613442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1291
- Practice address
- 11679 NE Glisan St
Portland, OR 97220-2264 - Phone
- (503) 258-9592
- Fax
- (503) 258-9593
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1291 | OR | Primary |
Addresses
Primary practice location
11679 NE Glisan St
Portland, OR 97220-2264
Mailing address
1145 NE 174TH Ave
Portland, OR 97230-6308
Phone (503) 255-8972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1291 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Vitality LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Portland, OR
- NPI 1154986735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679613442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 NE 174TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306308",
"telephone_number": "503-255-8972",
"fax_number": "503-258-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11679 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202264",
"telephone_number": "503-258-9592",
"fax_number": "503-258-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "LEE",
"middle_name": "NMI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1291",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.