Peter G Macris, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3865 Issued in OR

Practice address

3241 NE Broadway St
Portland, OR 97232-1855

Phone

(503) 282-8582

Fax

(503) 460-0814

NPI assigned

Sep 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Center for Chiropractic and Pain Rehabilitation, LLCGroup PAC ID 5991603268, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Chiropractic & Pain Rehabilitation, LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1215148192
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1720236599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321855",
            "telephone_number": "503-282-8582",
            "fax_number": "503-460-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321855",
            "telephone_number": "503-282-8582",
            "fax_number": "503-460-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRIS",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Macpherson, RDH
• Kim Elizabeth Macquarrie, LMT
• James Donald Macrae, LCSW
• Meghan Elisheva Macrae, PHD, CRNA
• Dawn Delight Macready-Santos, MSW, LICSW, LCSW
• Christina Renee Macrosty, DO
• Caroline Macuiba, MSW
• Michael Stephen Macveigh, MD
• Elena Macwilliams
• Rebecca Ann Macy, MA, RYT

• 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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.