NPIMap

Organization Active NPI

Pioneer Chiropractic and Wellness

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1801115019
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
603007695 Issued in WA
Legal business name
PIONEER CHIROPRACTIC AND WELLNESS
Practice address
715 SW Morrison St
Suite 912
Portland, OR 97205-3122
Phone
(503) 488-5485
Fax
(503) 488-5834
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Nicholas Ryan McBride, D.C.NPI 1992028435
Title
President
Phone
(503) 488-5485

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 603007695 WA Primary
Clinic/Center 261Q00000X 731371 OR

Addresses

Primary practice location

715 SW Morrison St
Suite 912
Portland, OR 97205-3122

Mailing address

715 SW Morrison St
Suite 912
Portland, OR 97205-3122
Phone (503) 488-5485

National Provider Directory

National Provider Directory

Locations

715 SW Morrison St
Ste 912
Portland, OR 97205
Phone (503) 488-5485

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1801115019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST",
            "address_2": "SUITE 912",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053122",
            "telephone_number": "503-488-5485",
            "fax_number": "503-488-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST",
            "address_2": "SUITE 912",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053122",
            "telephone_number": "503-488-5485",
            "fax_number": "503-488-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-488-5485",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "603007695",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "731371",
            "primary": false
        }
    ],
    "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 May 16, 2011; 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.