Active NPI
Evan Halbert, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1699160135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5636
- Practice address
- 11125 NE Sandy Blvd
Portland, OR 97220-2555 - Phone
- (503) 257-3377
- NPI assigned
- Apr 1, 2015
- 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 | 5636 | OR | Primary |
Addresses
Primary practice location
11125 NE Sandy Blvd
Portland, OR 97220-2555
Mailing address
2326 NE Lombard St Apt 3
Portland, OR 97211-5200
Phone (503) 888-8228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5636 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1699160135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 NE LOMBARD ST APT 3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115200",
"telephone_number": "503-888-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202555",
"telephone_number": "503-257-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBERT",
"first_name": "EVAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5636",
"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 Apr 1, 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.