NPIMap

Organization Active NPI

Portland Massage and Chiropractic Services LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1962844324
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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.
Title
Ceo
Phone
(503) 347-7668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3680 OR Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 13436 OR

Addresses

Primary practice location

7542 SW 35TH Ave
Portland, OR 97219-1749

Mailing address

7542 SW 35TH Ave
Portland, OR 97219-1749
Phone (503) 347-7668

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

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 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.