Jansen Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-1755 Issued in OR

Legal business name

JANSEN CHIROPRACTIC CLINIC PC

Doing business as

Mt Angel Chiropractic

Practice address

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327

Phone

(503) 625-2290

Fax

(503) 625-6297

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary J Jansen, DC

Title

Owner

Phone

(503) 625-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt Angel Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1952527392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "address_2": "PO BOX 550",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANSEN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-625-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Angel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inhousedoc, Inc.
• Innate Health Chiropractic LLC
• Heather Ann Jackson
• Jacqueline J Head PSYD PC
• William Joseph James, PSY.D.
• Gary Jansen, D.C.
• Larry Edwin Raymond Jasper, PSYD
• Kortnie Johnson, SDH
• Michael Wayne Johnson, M.D.
• Michelle A Johnson, LMT

• Chiropractor in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.