Behireta Corbadzic, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6076 Issued in OR

Practice address

3801 SW Hall Blvd
Beaverton, OR 97005-2049

Phone

(503) 601-0056

Fax

(503) 419-6068

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fahma Health and Wellness Center LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1245956952
  NPD Authorized official
• Flex Chiropractic LLC

  • Chiropractor
  • Suwanee, GA
  • NPI 1538256904
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1770102956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-601-0056",
            "fax_number": "503-419-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12923 SE Foster Rd Unit G703",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972364702",
            "country_code": "US",
            "telephone_number": "720-936-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBADZIC",
        "first_name": "BEHIRETA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "I2923 SE Foster Rd.",
            "address_2": "Unit G703",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Cooper, DPT
• Kimberly Cooper
• Shari Cooper
• Cooperative Therapies NW
• Lily Ana Copenhagen
• Christopher R Corbett, PSYD
• Erin Corbin
• Kristen Corbin, BDC.BD.70136630
• Rachel Mehana Cordery, LMT
• Cornell Pain Clinic

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.