Gregory Willard, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60542330 Issued in WA

Practice address

700 N Hayden Island Dr Ste 335
Portland, OR 97217-8185

Phone

(503) 206-6775

Fax

(503) 206-8610

NPI assigned

Apr 3, 2015

Last updated

Nov 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hayden Island Chiropractic Pain & Injury Center LLC

  dba Adio Spinal Care

  • Chiropractor
  • Portland, OR
  • NPI 1467966762
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1710372073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N HAYDEN ISLAND DR STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178185",
            "telephone_number": "503-206-6775",
            "fax_number": "503-206-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HAYDEN ISLAND DR STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178185",
            "telephone_number": "503-206-6775",
            "fax_number": "503-206-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 SE 15th St",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839665",
            "country_code": "US",
            "telephone_number": "360-718-7944",
            "fax_number": "360-718-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60542330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette View Inc.
• Willamette Wine Spa LLC
• Michelle Willams, M.D.
• Sherri Willard Argyres
• Edyth Adele Willard, PHARM D
• Carol Shychy Willeford, PMHNP
• Catherine Willeford
• Vincent A Willeford, MD
• Michael B Willet, M.D.
• Theresa Willett, LCSW

• 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 Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.