Organization Active NPI

Soul to Soul Chiropractic LLC

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1811234230
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUL TO SOUL CHIROPRACTIC LLC
Doing business as
Soul To Soul Chiropractic LLC
Practice address
12661 SE Powell Blvd Ste B
Portland, OR 97236-3400
Phone
(503) 915-3427
Fax
(503) 477-6846
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Dr. Dekebo M Yadeto, DC
Title
Ceo/ Physician
Phone
(503) 915-3427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12661 SE Powell Blvd Ste B
Portland, OR 97236-3400

Mailing address

12661 SE Powell Blvd Ste B
Portland, OR 97236-3400
Phone (503) 954-3784

Other names 1

  • Soul To Soul Chiropractic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3751 NE Martin Luther King Blvd
Portland, OR 97212

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1811234230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-954-3784",
            "fax_number": "503-208-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-915-3427",
            "fax_number": "503-477-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TO SOUL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "YADETO",
        "authorized_official_first_name": "DEKEBO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ PHYSICIAN",
        "authorized_official_telephone_number": "503-915-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul To Soul Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2021; 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.