Organization Active NPI

Pacific West Chiropractic, LLC

  • Sports Physician Chiropractor
  • Hillsboro, OR
National Provider Identifier
1861832545
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5150 Issued in OR
Legal business name
PACIFIC WEST CHIROPRACTIC, LLC
Practice address
2820 E Main St
Hillsboro, OR 97123-7068
Phone
(503) 888-3967
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Katie M Sill, DC, MS
Title
Owner
Phone
(503) 888-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 5150 OR Primary

Addresses

Primary practice location

2820 E Main St
Hillsboro, OR 97123-7068

Mailing address

2820 E Main St
Hillsboro, OR 97123-7068

National Provider Directory

National Provider Directory

Locations

2820 E Main St
Hillsboro, OR 97123
Phone (503) 888-3967

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1861832545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237068",
            "telephone_number": "503-888-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "SILL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-888-3967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.