Individual provider Active NPI

Lilia Baldazo, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1992307904
Registry record updated Nov 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6072 Issued in OR
Practice address
1222 SE Division St
Portland, OR 97202-1017
Phone
(503) 231-9879
NPI assigned
Nov 13, 2020
Last updated
Nov 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6072 OR Primary

Addresses

Primary practice location

1222 SE Division St
Portland, OR 97202-1017

Mailing address

8800 SE Sunnyside Rd Ste 136S
Clackamas, OR 97015-5770
Phone (971) 319-1322

Other practice location 1

8800 SE Sunnyside Rd Ste 136S
Clackamas, OR 97015-5770
Phone (971) 319-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425001239 OR Practitioner - Chiropractic 7810302254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawthorne Chiropractic PCGroup PAC ID 8628052727, 3 clinicians

Practice addresses (Care Compare)

1222 SE Division St
Portland, OR 97202-1017
Phone (503) 231-9879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Identity verified by CMS
Yes

State licenses

LicenseStateTypeSpecialty
6072ORMDChiropractor
14491TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hawthorne Chiropractic PC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

1222 SE Division St
Portland, OR 97202
Phone (503) 231-9879

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1992307904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 136S",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155770",
            "telephone_number": "971-319-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 SE SUNNYSIDE RD STE 136S",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970155770",
            "country_code": "US",
            "telephone_number": "971-319-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDAZO",
        "first_name": "LILIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6072",
            "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 Nov 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.