Portland Massage and Chiropractic Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3680 Issued in OR

Legal business name

PORTLAND MASSAGE AND CHIROPRACTIC SERVICES LLC

Practice address

7542 SW 35TH Ave
Portland, OR 97219-1749

Phone

(503) 347-7668

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey R. Dougal, D.C.NPI 1669624375

Title

Ceo

Phone

(503) 347-7668

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Roel Dougal, D.C., L.M.T.

  • Chiropractor
  • Clackamas, OR
  • NPI 1669624375
  Authorized official Same address or phone

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1962844324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 SW 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191749",
            "telephone_number": "503-347-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 SW 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191749",
            "telephone_number": "503-347-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND MASSAGE AND CHIROPRACTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "DOUGAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-347-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3680",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Internal Medicine Offices of James V. Skavaril MD LLC
• Portland Iop, LLC (Klean Gresham)
• Portland Iop, LLC
• Portland Joint Reconstruction Clinic, P.C.
• Portland Lifestyle Counseling, LLC
• Portland Massage Arts LLC
• Portland Massage LLC
• Portland Medical Diagnostic Center Inc
• Portland Medical Imaging LLC
• Portland Modern Dentistry, PC (Portland Modern Dentistry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.