Hannah Kim, DC, MSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6421 Issued in OR

Practice address

8365 SW Warm Springs St
Tualatin, OR 97062-9003

Phone

(503) 855-3375

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Life Chiropractic and Rehab, LLC

  • Chiropractor
  • Tualatin, OR
  • NPI 1891196739
  NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1962213744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 SW WARM SPRINGS ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 SW WARM SPRINGS ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629003",
            "telephone_number": "503-855-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNAH",
        "credential": "DC, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitry Keysalov, DDS
• Vishal Khemlani, M.D.
• James A Kilgore, MD
• Mallory Kilmurray
• John Edmund Kilty, MD PHD
• Karl H. Kim, MD
• Yoon DO Kim, LMT
• Erin Kincaid, DPT, CLT
• Heather J Kinney, D.C.
• Jonathan Thomas Kinney, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.