Organization Active NPI

Ultra Chiropractic and Rehabilitation, LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1992068225
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5030 Issued in OR
Legal business name
ULTRA CHIROPRACTIC AND REHABILITATION, LLC
Practice address
1977 NW Overton St
Suite C
Portland, OR 97209-2339
Phone
(503) 208-4085
Fax
(503) 223-1222
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Megan Leeann Zetter, D.C.
Title
Chiropractic Physician
Phone
(503) 347-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5030 OR Primary

Addresses

Primary practice location

1977 NW Overton St
Suite C
Portland, OR 97209-2339

Mailing address

1977 NW Overton St
Suite C
Portland, OR 97209-1618
Phone (503) 208-4084

National Provider Directory

National Provider Directory

Locations

1977 NW Overton St
Ste C
Portland, OR 97209
Phone (503) 208-4085

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1992068225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 NW OVERTON ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091618",
            "telephone_number": "503-208-4084",
            "fax_number": "503-223-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 NW OVERTON ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092339",
            "telephone_number": "503-208-4085",
            "fax_number": "503-223-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "ZETTER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-347-8988",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5030",
            "primary": true
        }
    ],
    "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 Dec 16, 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.