Organization Active NPI

Laura a Swingen DC PC

Doing business as Sunset Chiropractic Clinic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1932375706
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2662 Issued in OR
Legal business name
LAURA A SWINGEN DC PC
Doing business as
Sunset Chiropractic Clinic
Practice address
11507 SW Shilo LN
Suite E
Portland, OR 97225-5923
Phone
(503) 643-2225
Fax
(503) 520-0514
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Laura A Swingen, DCNPI 1164480448
Title
President
Phone
(503) 643-2225

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 2662 OR Primary

Addresses

Primary practice location

11507 SW Shilo LN
Suite E
Portland, OR 97225-5923

Mailing address

11507 SW Shilo LN
Suite E
Portland, OR 97225-5923
Phone (503) 643-2225

Other names 1

  • Sunset Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000027 OR Part B Supplier - Clinic/Group Practice 7517030042 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

11507 SW Shilo Ln
Ste E
Portland, OR 97225
Phone (503) 643-2225

Practitioners & affiliated clinicians

Practitioners 4

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1932375706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A SWINGEN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SWINGEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-643-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.