Active NPI
Cammi Vance, DC, LMT
- Chiropractor
- Portland, OR
National Provider Identifier
1750622395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5821
- Practice address
- 16144 SE Happy Valley Town Center Dr Ste 214
Portland, OR 97086-4257 - Phone
- (503) 658-7715
- NPI assigned
- Mar 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6420 | OR | |
| Chiropractor | 111N00000X | 5821 | OR | Primary |
Addresses
Primary practice location
16144 SE Happy Valley Town Center Dr Ste 214
Portland, OR 97086-4257
Mailing address
810 SE 26TH Ave Apt B
Portland, OR 97214-2997
Phone (503) 753-7963
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5821 | OR | MD | Chiropractor |
| 6420 | OR | MD | Massage Therapist |
Interoperability endpoints
- cammi.vance.1@16834.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750622395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 SE 26TH AVE APT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142997",
"telephone_number": "503-753-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 214",
"city": "PORTLAND",
"state": "OR",
"postal_code": "970864257",
"telephone_number": "503-658-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "CAMMI",
"name_prefix": "Dr.",
"credential": "DC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "6420",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5821",
"primary": true
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.