Organization Active NPI

Yazvac Chiropractic Associates

  • Rehabilitation Chiropractor
  • Portland, OR
National Provider Identifier
1992835870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
27 3470 Issued in OR
Legal business name
YAZVAC CHIROPRACTIC ASSOCIATES
Practice address
2119 NE Halsey St
Portland, OR 97232-1522
Phone
(503) 249-2121
Fax
(503) 331-1069
NPI assigned
Mar 7, 2007
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
Ms. Dawn L Heater
Title
Office Manager
Phone
(503) 249-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 27 3470 OR Primary

Addresses

Primary practice location

2119 NE Halsey St
Portland, OR 97232-1522

Mailing address

2119 NE Halsey St
Portland, OR 97232-1522
Phone (503) 249-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992835870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321522",
            "telephone_number": "503-249-2121",
            "fax_number": "503-331-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321522",
            "telephone_number": "503-249-2121",
            "fax_number": "503-331-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZVAC CHIROPRACTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-249-2121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "27 3470",
            "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 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.