Organization Active NPI

Solutions Sports and Spine, Inc

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1760649198
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27 3379 Issued in OR
Legal business name
SOLUTIONS SPORTS AND SPINE, INC
Practice address
815 NE Halsey St
Portland, OR 97232-1219
Phone
(971) 266-0957
Fax
(503) 994-1917
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Phillip W Snell, DCNPI 1346270550
Title
President
Phone
(971) 266-0957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27 3379 OR Primary

Addresses

Primary practice location

815 NE Halsey St
Portland, OR 97232-1219

Mailing address

2600 NE Multnomah St
Portland, OR 97232-2130
Phone (971) 266-0957

Other practice location 1

9570 SE Lawnfield Rd
Clackamas, OR 97015-6676
Phone (971) 266-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628002247 OR Part B Supplier - Clinic/Group Practice 7113218710 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

9570 SE Lawnfield Rd
Clackamas, OR 97015
Phone (971) 266-0957

815 NE Halsey St
Portland, OR 97232
Phone (503) 287-4594

3942 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 234-2070

Practitioners & affiliated clinicians

Practitioners 2

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1760649198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE MULTNOMAH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322130",
            "telephone_number": "971-266-0957",
            "fax_number": "503-994-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321219",
            "telephone_number": "971-266-0957",
            "fax_number": "503-994-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9570 SE Lawnfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156676",
            "country_code": "US",
            "telephone_number": "971-266-0957",
            "fax_number": "503-994-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLUTIONS SPORTS AND SPINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-266-0957",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "27 3379",
            "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 May 2, 2022; 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.