Individual provider Active NPI

Rebecca Ruth Schacker, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1679635775
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3551 Issued in OR
Practice address
316 NE 28TH Ave
Portland, OR 97232-3150
Phone
(503) 230-0812
Fax
(503) 233-9151
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3551 OR Primary

Addresses

Primary practice location

316 NE 28TH Ave
Portland, OR 97232-3150

Mailing address

5308 SE Rhone St
Portland, OR 97206-2962
Phone (503) 775-6885

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)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1679635775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 SE RHONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062962",
            "telephone_number": "503-775-6885",
            "fax_number": "503-775-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812",
            "fax_number": "503-233-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACKER",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3551",
            "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 Mar 24, 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.