Organization Active NPI

Cornelius Chiropractic LLC

Doing business as Oregon Spine and Disc

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1699005884
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3980 Issued in OR
Legal business name
CORNELIUS CHIROPRACTIC LLC
Doing business as
Oregon Spine and Disc
Practice address
5035 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6425
Phone
(503) 626-3700
Fax
(503) 643-6667
NPI assigned
Jan 11, 2010
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Joseph Jack Hamlin, DC BSNPI 1417287699
Title
Owner
Phone
(503) 626-3700

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
Chiropractor 111N00000X 3980 OR Primary

Addresses

Primary practice location

5035 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6425

Mailing address

5035 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6425
Phone (503) 626-3700

Other names 1

  • Oregon Spine and Disc Doing business as

National Provider Directory

National Provider Directory

Locations

5035 NE Elam Young Pkwy
Ste 300
Hillsboro, OR 97124
Phone (503) 626-3700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1699005884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246425",
            "telephone_number": "503-626-3700",
            "fax_number": "503-643-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246425",
            "telephone_number": "503-626-3700",
            "fax_number": "503-643-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-626-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC BS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Spine and Disc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.