Active NPI
Alicia Jeffers, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1780025304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5153
- Practice address
- 12143A NE Halsey St
Portland, OR 97220-2074 - Phone
- (503) 505-3842
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5153 | OR | Primary |
Addresses
Primary practice location
12143A NE Halsey St
Portland, OR 97220-2074
Mailing address
130 SW 2ND Ave
Ste 101
Canby, OR 97013-4157
Phone (503) 263-3033
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5153 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry D Jensen DPM PC | Current | Accepting new patients |
Locations
130 SW 2nd Ave
Ste 101
Canby, OR 97013
Phone (503) 263-2347
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1780025304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SW 2ND AVE",
"address_2": "STE 101",
"city": "CANBY",
"state": "OR",
"postal_code": "970134157",
"telephone_number": "503-263-3033",
"fax_number": "503-263-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12143A NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202074",
"telephone_number": "503-505-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5153",
"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 Feb 8, 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.