Active NPI
King Professional Chiropractic Care PC
- Chiropractor
- Portland, OR
National Provider Identifier
1982851978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1386
- Legal business name
- KING PROFESSIONAL CHIROPRACTIC CARE PC
- Practice address
- 15348 SE Division St
Portland, OR 97236-2345 - Phone
- (503) 761-9076
- Fax
- (503) 761-9679
- NPI assigned
- Aug 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Ross King Jr., D.C.
- Title
- Ceo
- Phone
- (503) 761-9076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1386 | OR | Primary |
Addresses
Primary practice location
15348 SE Division St
Portland, OR 97236-2345
Mailing address
15348 SE Division St
Portland, OR 97236-2345
Phone (503) 761-9076
Other names 1
- King Chiropractic Clinic SE
National Provider Directory
National Provider DirectoryLocations
15348 SE Division St
Portland, OR 97236
Phone (503) 761-9076
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Gresham, OR
- NPI 1588991764
-
- Neurology Chiropractor
- Portland, OR
- NPI 1689381451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1982851978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15348 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362345",
"telephone_number": "503-761-9076",
"fax_number": "503-761-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15348 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362345",
"telephone_number": "503-761-9076",
"fax_number": "503-761-9679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING PROFESSIONAL CHIROPRACTIC CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-761-9076",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "1386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "King Chiropractic Clinic SE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.