Organization Active NPI

Russell J Kort DC PC

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1891970257
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 3147 Issued in OR
Legal business name
RUSSELL J KORT DC PC
Practice address
20407 SW Borchers Dr
Suite 201
Sherwood, OR 97140-8988
Phone
(503) 625-5678
Fax
(503) 925-8302
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Mr. Russell John Kort, D.C.
Title
Doctor
Phone
(503) 625-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27 3147 OR Primary

Addresses

Primary practice location

20407 SW Borchers Dr
Suite 201
Sherwood, OR 97140-8988

Mailing address

20407 SW Borchers Dr
Suite 201
Sherwood, OR 97140-8988
Phone (503) 625-5678

Other names 1

  • Kort Chiropractic and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

20407 SW Borchers Dr
Ste 201
Sherwood, OR 97140
Phone (503) 625-5678

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1891970257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408988",
            "telephone_number": "503-625-5678",
            "fax_number": "503-925-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408988",
            "telephone_number": "503-625-5678",
            "fax_number": "503-925-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J KORT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "KORT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-625-5678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 3147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kort Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.