Organization Active NPI

West Coast Wellness, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1801419932
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEST COAST WELLNESS, LLC
Practice address
3804 SE Belmont St
Portland, OR 97214-4330
Phone
(541) 968-0393
NPI assigned
May 23, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Emily Watters, DCNPI 1396088563
Title
Doctor of Chiropractic
Phone
(541) 968-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

3804 SE Belmont St
Portland, OR 97214
Phone (503) 213-9990

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3804 SE Belmont St
Portland, OR 97214-4330

Mailing address

7809 SE Sherman St
Portland, OR 97215-4169

Other practice location 1

1933 NE 141st Ave
Portland, OR 97230-4035
Phone (541) 968-0393

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2020.

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1801419932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 SE SHERMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972154169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144330",
            "telephone_number": "541-968-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 NE 141st Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972304035",
            "country_code": "US",
            "telephone_number": "541-968-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "541-968-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 30, 2020; 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.