Organization Active NPI

Cascade Chiropractic and Wellness LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1730505314
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5533 Issued in OR
Legal business name
CASCADE CHIROPRACTIC AND WELLNESS LLC
Practice address
3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704
Phone
(503) 257-1324
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Christopher R Cooper, DC
Title
Chairman
Phone
(503) 853-9012

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5533 OR Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704

Mailing address

3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704
Phone (503) 257-1324

National Provider Directory

National Provider Directory

Locations

522 SE Belmont St
#B
Portland, OR 97214
Phone (503) 257-1324

522 SE Belmont St
Ste B
Portland, OR 97214
Phone (503) 257-1324

3715 SE Cesar E Chavez Blvd
Portland, OR 97202
Phone (503) 257-1324

Practitioners & affiliated clinicians

Practitioners 4

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": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1730505314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "503-257-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "503-257-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "503-853-9012",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5533",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 2023; 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.