NPIMap

Organization Active NPI

The Wellness Center PDX

  • Occupational Health Chiropractor
  • Portland, OR
National Provider Identifier
1760880744
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
5070 Issued in OR
Legal business name
THE WELLNESS CENTER PDX
Practice address
1359 NE 35TH Ave
Portland, OR 97232-1941
Phone
(503) 389-5545
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Miss Andrea Sophia Pinheiro, LMT
Title
Massage Therapist
Phone
(503) 523-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0100X 5070 OR Primary

Addresses

Primary practice location

1359 NE 35TH Ave
Portland, OR 97232-1941

Mailing address

1359 NE 35TH Ave
Portland, OR 97232-1941
Phone (503) 389-5545

Other identifiers 1

IdentifierTypeStateIssuer
20181OtherORLMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1760880744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-389-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 NE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321941",
            "telephone_number": "503-389-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "PINHEIRO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-523-7536",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "OR",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "20181",
            "state": "OR"
        }
    ],
    "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 Dec 8, 2014; 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.