Individual provider Active NPI

Stover Edward Harger Jr., D.C.

  • Sports Physician Chiropractor
  • Portland, OR
National Provider Identifier
1861581290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
27 2291 Issued in OR
Practice address
2900 NE 132ND Ave
Portland, OR 97230-3014
Phone
(503) 251-5791
Fax
(503) 251-5794
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 27 2291 OR Primary
Sports Physician Chiropractor 111NS0005X DC 28791 CA

Addresses

Primary practice location

2900 NE 132ND Ave
Portland, OR 97230-3014

Mailing address

2900 NE 132ND Ave
Portland, OR 97230-3014
Phone (503) 251-5791

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
DC 28791CAMDSports Physician Chiropractor
27 2291ORMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Wellness Center LLC PastSince Mar 1, 2008 Accepting new patients
Cantley Vision Inc PS Past 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861581290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NE 132ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303014",
            "telephone_number": "503-251-5791",
            "fax_number": "503-251-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NE 132ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303014",
            "telephone_number": "503-251-5791",
            "fax_number": "503-251-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGER",
        "first_name": "STOVER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "27 2291",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 28791",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.