Organization Active NPI

Structural Solutions Chiropractic

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1831757475
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STRUCTURAL SOLUTIONS CHIROPRACTIC
Practice address
121 NW Everett St
Portland, OR 97209-4049
Phone
(541) 325-6674
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Vencil Overland, DC
Title
Owner
Phone
(541) 325-6674

Specialties & licenses 1

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

Addresses

Primary practice location

121 NW Everett St
Portland, OR 97209-4049

Mailing address

3325 Gilham Rd
Eugene, OR 97408-7165
Phone (541) 325-6674

Other identifiers 1

IdentifierTypeStateIssuer
3731OtherOROREGON CHIROPRACTIC BOARD

National Provider Directory

National Provider Directory

Locations

121 NW Everett St
Portland, OR 97209
Phone (503) 705-5771

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1831757475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 GILHAM RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087165",
            "telephone_number": "541-325-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094049",
            "telephone_number": "541-325-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL SOLUTIONS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "OVERLAND",
        "authorized_official_first_name": "VENCIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-325-6674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON CHIROPRACTIC BOARD",
            "identifier": "3731",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 29, 2019; 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.