Kailey Ann Koopman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6211 Issued in OR

Practice address

3150 SE Belmont St
Portland, OR 97214-4029

Phone

(503) 389-5545

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Holistic Vitality Center PLLC

  • Chiropractor
  • Raleigh, NC
  • NPI 1619272424
  Medicare reassignment NPD
• Advanced Wellness Center

  dba The Advanced Wellness Center PDX

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1275921660
  NPD
• Advanced Wellness Center LLC

  dba The Wellness Center PDX

  • Chiropractor
  • Portland, OR
  • NPI 1245632447
  NPD
• Counseling on Burnside

  • Clinical Social Worker
  • Portland, OR
  • NPI 1447521604
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1851047906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 NE PACIFIC ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135449",
            "telephone_number": "845-687-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144029",
            "telephone_number": "503-389-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "KAILEY",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Koonce
• Jan Andrew Kooning, DMD PC
• Joria Valene Koons, RD, RDH
• Kristin Koontz, RPH
• Maxfield Koontz
• Matthew C. Koopmann, M.D.
• John R Kopacek, CRNA
• Jaclyn Christine Kopalek, LPN
• Aiden Elliot Lawrence Kopchinski, LMT
• Sarah M. Kopencey, PSYD

• 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 Feb 28, 2022; 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.