Jade Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3992 Issued in OR

Legal business name

JADE CHIROPRACTIC PC

Practice address

5517 N Commercial Ave
Portland, OR 97217-2339

Phone

(503) 223-0900

NPI assigned

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Molly Ouellette, DC

Title

Owner, Chiropractor

Phone

(339) 707-0806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1881972685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-223-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-223-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "339-707-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Jaconis, PH.D.
• Barry A Jacoshenk, PA-C
• Nathalie J. Jacqmotte, MD
• Jacqueline Engel, ND, LMT
• Jade Acupuncture
• Jade Dragonfly Acupuncture, LLC
• Christina Mandrup Jaderholm, D.C.
• Pontus L Jaderholm, PHARMD
• Hannah Kathleen Jaeger
• Margarete Jaeger

• 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 Apr 22, 2014; 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.