Active NPI
Zohra Campbell Bolduc, DC
- Chiropractor
- Salem, OR
National Provider Identifier
1730191677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 2805
- Practice address
- 3276 Commercial St SE
Salem, OR 97302-4584 - Phone
- (503) 371-1120
- Fax
- (503) 391-7422
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- 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 | 27 2805 | OR | Primary |
Addresses
Primary practice location
3276 Commercial St SE
Salem, OR 97302-4584
Mailing address
3276 Commercial St SE
Salem, OR 97302-4584
Phone (503) 371-1120
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 |
|---|---|---|---|
| 27 2805 | OR | MD | Chiropractor |
| 2805 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1730191677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3276 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024584",
"telephone_number": "503-371-1120",
"fax_number": "503-391-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3276 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024584",
"telephone_number": "503-371-1120",
"fax_number": "503-391-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL BOLDUC",
"first_name": "ZOHRA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 2805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.