Active NPI
Eric Collison
- Chiropractor
- Portland, OR
National Provider Identifier
1952391088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1776
- Practice address
- 1005 SE Lambert St
Portland, OR 97202-6377 - Phone
- (503) 235-4965
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 271776 | OR | |
| Chiropractor | 111N00000X | 1776 | OR | Primary |
Addresses
Primary practice location
1005 SE Lambert St
Portland, OR 97202-6377
Mailing address
1005 SE Lambert St
Portland, OR 97202-6377
Phone (503) 235-4965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1776 | OR | MD | Chiropractor |
| 271776 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1952391088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SE LAMBERT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026377",
"telephone_number": "503-235-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 SE LAMBERT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026377",
"telephone_number": "503-235-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLISON",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "271776",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1776",
"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 Sep 25, 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.