NPIMap

Organization Active NPI

Russ Family Chiropractic LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1770956633
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3117 Issued in OR
Legal business name
RUSS FAMILY CHIROPRACTIC LLC
Practice address
1717 NE 42ND Ave
#3200
Portland, OR 97213-1569
Phone
(503) 688-1219
Fax
(503) 388-6168
NPI assigned
Nov 1, 2015
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Dr. David Benjamin Russ, DCNPI 1942344221
Title
Owner
Phone
(503) 754-6136

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3117 OR Primary

Addresses

Primary practice location

1717 NE 42ND Ave
#3200
Portland, OR 97213-1569

Mailing address

1717 NE 42ND Ave
#3200
Portland, OR 97213-1569
Phone (503) 688-1219

Other names 1

  • Allbutter LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1717 NE 42nd Ave
Ste 3200
Portland, OR 97213
Phone (503) 489-8699

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1770956633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NE 42ND AVE",
            "address_2": "#3200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131569",
            "telephone_number": "503-688-1219",
            "fax_number": "503-388-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NE 42ND AVE",
            "address_2": "#3200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131569",
            "telephone_number": "503-688-1219",
            "fax_number": "503-388-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-754-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allbutter LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 31, 2017; 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.