Active NPI
Soul to Soul Chiropractic LLC
- In Home Supportive Care Agency
- Portland, OR
National Provider Identifier
1811234230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.