Individual provider Active NPI

Slim Ben Khalifa

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1891401592
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6283 Issued in OR
Practice address
2251 SE TV Hwy
Hillsboro, OR 97123-7975
Phone
(501) 648-4357
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6283 OR Primary

Addresses

Primary practice location

2251 SE TV Hwy
Hillsboro, OR 97123-7975

Mailing address

6310 SW 35TH Ave
Portland, OR 97221-3302
Phone (781) 588-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618000937 OR Practitioner - Chiropractic 3173032679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corazon Chiropractic Clinic LLCGroup PAC ID 7214294149, 2 clinicians

Practice addresses (Care Compare)

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975
Phone (503) 648-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6283ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon Chiropractic Clinic, LLC Chiropractor CurrentSince Apr 6, 2025 Accepting new patients
Corazon Chiropractic Clinic, LLC Chiropractor PastSince Apr 6, 2025 Accepting new patients

Locations

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (503) 648-4357

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1891401592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SW 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972213302",
            "telephone_number": "781-588-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 SE TV HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237975",
            "telephone_number": "501-648-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN KHALIFA",
        "first_name": "SLIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6283",
            "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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.