Organization Active NPI

Improvement Chiropractic & Rehab L.L.C.

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1982776522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273624 Issued in OR
Legal business name
IMPROVEMENT CHIROPRACTIC & REHAB L.L.C.
Practice address
21440 SE Stark St # 102
Gresham, OR 97030-2024
Phone
(503) 489-2992
Fax
(503) 489-2994
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jesse Layne Nuttall, D.C.NPI 1255404612
Title
Owner
Phone
(503) 254-8655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273624 OR Primary

Addresses

Primary practice location

21440 SE Stark St # 102
Gresham, OR 97030-2024

Mailing address

12413 NE Stanton St
Portland, OR 97230-1649
Phone (503) 254-8655

National Provider Directory

National Provider Directory

Locations

21440 SE Stark St
#102
Gresham, OR 97030
Phone (503) 489-2992

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982776522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 NE STANTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301649",
            "telephone_number": "503-254-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21440 SE STARK ST # 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302024",
            "telephone_number": "503-489-2992",
            "fax_number": "503-489-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPROVEMENT CHIROPRACTIC & REHAB L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUTTALL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-254-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.