NPIMap

Organization Active NPI

Keystone Chiropractic LLC

  • Primary Care Clinic/Center
  • Gladstone, OR
National Provider Identifier
1811246259
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3867 Issued in OR
Legal business name
KEYSTONE CHIROPRACTIC LLC
Practice address
685 Portland Ave
Gladstone, OR 97027-2117
Phone
(503) 908-1001
Fax
(503) 908-1002
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. Brad Marshal Vollmer, D.C.NPI 1508006537
Title
Owner
Phone
(503) 908-1001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3867 OR Primary

Addresses

Primary practice location

685 Portland Ave
Gladstone, OR 97027-2117

Mailing address

685 Portland Ave
Gladstone, OR 97027-2117
Phone (503) 908-1001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1811246259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PORTLAND AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272117",
            "telephone_number": "503-908-1001",
            "fax_number": "503-908-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PORTLAND AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272117",
            "telephone_number": "503-908-1001",
            "fax_number": "503-908-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "VOLLMER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "MARSHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-908-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.