Millbod Investments

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3993 Issued in OR

Legal business name

MILLBOD INVESTMENTS

Practice address

3735 SE Division St
Portland, OR 97202-1547

Phone

(503) 502-1379

Fax

(503) 488-5584

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bodner, DC, LMT

Title

Chiropractic Physician

Phone

(503) 614-9561

Specialties & licenses 1

Addresses

Other names 1

• ridgeline clinic Doing business as

Locations

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1710224639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021547",
            "telephone_number": "503-502-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021547",
            "telephone_number": "503-502-1379",
            "fax_number": "503-488-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBOD INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "BODNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-614-9561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ridgeline clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanna May Mill, LPC-A
• Denise Millage, CRM
• Juan Carlos Millan, M.D.
• Sara Grace Millan, SLP
• Larkin Millar
• Andrea Millen, PSYD
• Linda Jeanne Millenbach, RPH
• Naomi Jo Miller-Altuner
• Chelsea Lynn Miller-Erion, CCC-SLP
• Laine Miller-Kennington, CSWA

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.