Organization Active NPI

West Portland Chiropractic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1922360031
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713719 Issued in OR
Legal business name
WEST PORTLAND CHIROPRACTIC
Practice address
322 NW 5TH Ave
Suite 308
Portland, OR 97209-3825
Phone
(207) 370-8516
Fax
(503) 616-7622
NPI assigned
Jun 14, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Matthew Todd, D.C.NPI 1093934507
Title
Owner
Phone
(503) 757-3683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 713719 OR Primary

Addresses

Primary practice location

322 NW 5TH Ave
Suite 308
Portland, OR 97209-3825

Mailing address

322 NW 5TH Ave
Suite 308
Portland, OR 97209-3825
Phone (207) 370-8516

National Provider Directory

National Provider Directory

Locations

322 NW 5th Ave
Ste 308
Portland, OR 97209
Phone (207) 370-8516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1922360031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NW 5TH AVE",
            "address_2": "SUITE 308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093825",
            "telephone_number": "207-370-8516",
            "fax_number": "503-616-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 NW 5TH AVE",
            "address_2": "SUITE 308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093825",
            "telephone_number": "207-370-8516",
            "fax_number": "503-616-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PORTLAND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-757-3683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713719",
            "primary": true
        }
    ],
    "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 Jun 14, 2012; 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.