Individual provider Active NPI

Rachael H Pandzik, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1831423342
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3967 Issued in OR
Practice address
3644 SW Troy St
Suite 200
Portland, OR 97219-1684
Phone
(503) 293-3001
Fax
(503) 977-0502
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8154 AZ
Chiropractor 111N00000X 3967 OR Primary

Addresses

Primary practice location

3644 SW Troy St
Suite 200
Portland, OR 97219-1684

Mailing address

3644 SW Troy St
Suite 200
Portland, OR 97219-1684
Phone (503) 293-3001

Other names 1

  • Ms. Rachel Hannah Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8154AZMDChiropractor
3967ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Barbara Jolley, DC, DC, PC Chiropractor Past Accepting new patients
Joyce D. McClure, D.C., P.C. PastSince Mar 1, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1831423342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 SW TROY ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191684",
            "telephone_number": "503-293-3001",
            "fax_number": "503-977-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 SW TROY ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191684",
            "telephone_number": "503-293-3001",
            "fax_number": "503-977-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDZIK",
        "first_name": "RACHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8154",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "JACOBS",
            "middle_name": "HANNAH",
            "prefix": "MS.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 6, 2011; 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.