Integrative Chiropractic & Wellness Spa, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3748 Issued in OR

Legal business name

INTEGRATIVE CHIROPRACTIC & WELLNESS SPA, LLC

Practice address

9955 SE Washington St
Ste 320 #6
Portland, OR 97216-2439

Phone

(503) 253-8818

Fax

(503) 253-0377

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cyndi Rozella Myers, D.C.NPI 1790983864

Title

Chiropractic Physician

Phone

(360) 970-1416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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

• Cyndi Rozella Myers, DC

  • Chiropractor
  • Portland, OR
  • NPI 1790983864
  Medicare reassignment NPD Authorized official
• Erin Kate Fellenz Brockmeyer, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1790973840
  NPD (past)
• Dori M White, LMT

  • Mechanotherapist
  • Portland, OR
  • NPI 1063645372
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1831387380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 SE WASHINGTON ST",
            "address_2": "STE 320 # 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162439",
            "telephone_number": "503-253-8818",
            "fax_number": "503-253-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 SE WASHINGTON ST",
            "address_2": "STE 320 #6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162439",
            "telephone_number": "503-253-8818",
            "fax_number": "503-253-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC & WELLNESS SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_middle_name": "ROZELLA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "360-970-1416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Pediatrics LLC
• Integrative Psychological Services, LLC
• Integrative Spine & Body Medicine
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• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.