Symtrio Chiropractic Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3699 Issued in OR

Legal business name

SYMTRIO CHIROPRACTIC CLINIC, INC.

Practice address

6125 NE Cornell Rd Ste 300
Hillsboro, OR 97124-5417

Phone

(503) 924-1777

Fax

(503) 924-2778

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Krueger, DCNPI 1003936915

Title

President

Phone

(503) 924-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Krueger, DC

  • Chiropractor
  • Hillsboro, OR
  • NPI 1003936915
  NPD (past) Authorized official
• Brian Edward Bodtker, D.C

  • Chiropractor
  • Hillsboro, OR
  • NPI 1720358054
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1801109988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 NE CORNELL RD STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245417",
            "telephone_number": "503-924-1777",
            "fax_number": "503-924-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 NE CORNELL RD STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245417",
            "telephone_number": "503-924-1777",
            "fax_number": "503-924-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMTRIO CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-924-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1003936915",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Sweigart
• Jeffrey Sy, MD
• Amena Tabasum Syed, MD
• Symmetry Chiropractic LLC
• Symtrio Chiropractic and Sports Medicine Clinic, LLC
• Regina Marie Szczesniak, M.D.
• Sandy Tadrous-Furnanz
• Shidrokh Taeidi, DO
• Mohammed A Taher, MD
• Raeesah Taher, DMD

• Clinic/Center in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.