NPIMap

Organization Active NPI

Hubbard Chiropractic Clinic, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1699499186
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HUBBARD CHIROPRACTIC CLINIC, LLC
Practice address
10224 SW Park Way Ste a
Portland, OR 97225-5010
Phone
(503) 297-1174
Fax
(503) 297-2623
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Kelly Leonard Hubbard, DCNPI 1164571543
Title
Owner/Sole Member/Chiropractor
Phone
(503) 297-1174

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10224 SW Park Way Ste a
Portland, OR 97225-5010

Mailing address

PO Box 1147
Sherwood, OR 97140-1147
Phone (503) 297-1174

Other names 1

  • Hubbard Chiropractic Clinic, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

10224 SW Park Way
Ste A
Portland, OR 97225
Phone (503) 297-1174

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1699499186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971401147",
            "telephone_number": "503-297-1174",
            "fax_number": "503-297-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 SW PARK WAY STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255010",
            "telephone_number": "503-297-1174",
            "fax_number": "503-297-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-297-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hubbard Chiropractic Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 2022; 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.