Active NPI
Whole Body Healing & Wellness Clinic
- Chiropractor
- Portland, OR
National Provider Identifier
1932435542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3933
- Legal business name
- WHOLE BODY HEALING & WELLNESS CLINIC
- Practice address
- 1320 NW 20TH Ave
Portland, OR 97209-1607 - Phone
- (503) 764-9207
- Fax
- (503) 764-9226
- NPI assigned
- Nov 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven J Dellisanti Jr., D.C.
- Title
- Owner
- Phone
- (503) 764-9207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3933 | OR | Primary |
Addresses
Primary practice location
1320 NW 20TH Ave
Portland, OR 97209-1607
Mailing address
PO Box 28305
Portland, OR 97228-8305
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1932435542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28305",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972288305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 NW 20TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091607",
"telephone_number": "503-764-9207",
"fax_number": "503-764-9226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE BODY HEALING & WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "DELLISANTI",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-764-9207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "3933",
"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 Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.