Active NPI
Richard Marion Balsiger Jr., D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1992977458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1272
- Practice address
- 1019 NE 122ND Ave
Portland, OR 97230-2006 - Phone
- (503) 257-8606
- Fax
- (503) 257-8607
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1272 | OR | Primary |
Addresses
Primary practice location
1019 NE 122ND Ave
Portland, OR 97230-2006
Mailing address
1019 NE 122ND Ave
Portland, OR 97230-2006
Phone (503) 257-8606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1272 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1992977458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302006",
"telephone_number": "503-257-8606",
"fax_number": "503-257-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302006",
"telephone_number": "503-257-8606",
"fax_number": "503-257-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALSIGER",
"first_name": "RICHARD",
"middle_name": "MARION",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1272",
"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 Mar 25, 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.