Active NPI
Alla A Lobasyuk, LMT
- Rehabilitation Chiropractor
- Portland, OR
National Provider Identifier
1801222682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 14972
- Practice address
- 17221 SE Division St
Portland, OR 97236-1240 - Phone
- (503) 453-4436
- NPI assigned
- Sep 24, 2013
- Last updated
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 14972 | OR | Primary |
Addresses
Primary practice location
17221 SE Division St
Portland, OR 97236-1240
Mailing address
2225 Molalla Rd
Woodburn, OR 97071-3515
Phone (970) 338-1221
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14972 | OR | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1801222682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 MOLALLA RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970713515",
"telephone_number": "970-338-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17221 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361240",
"telephone_number": "503-453-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBASYUK",
"first_name": "ALLA",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OR",
"license": "14972",
"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 Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.