BRIDGETON CHIROPRACTIC, LLC


Address: 10350 N Vancouver Way # 92, Portland, OR 97217-7530
Phone: 9712551708

BRIDGETON CHIROPRACTIC, LLC (NPI# 1174907638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174907638
Entity Type Organization
Organization Name BRIDGETON CHIROPRACTIC, LLC
Practice Address 10350 N Vancouver Way # 92
Portland
OR 97217-7530
Mailing Address 10350 N Vancouver Way
Portland
OR 97217-7530
Practice Telephone 9712551708
Practice Fax Number 9712550865
Mailing Telephone 9712551708
Mailing Fax Number 9712550865
Enumeration Date 2015-07-15
Last Update Date 2015-07-15
Authorized Official Name JULIA EVELYN WILBER (OWNER/MANAGER)
Authorized Official Telephone 9712551708
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
5143 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 1801239884 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names BRIDGETON CHIROPRACTIC, LLC 8885 Sw Canyon Rd Ste 203, Portland, OR 97225

Office Location

Street Address 10350 N VANCOUVER WAY # 92
City PORTLAND
State OR
Zip Code 97217-7530

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1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Clinic/Center 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912241746 Portland Preventive Cardiology LLC Clinic/Center 8855 Sw Canyon Ln, Portland, OR 97225-3411 2012-11-16
1619234317 Derek Libby Do Clinic/Center 97a Exchange St Ste 201, Portland, ME 04101-5016 2012-04-19
1447563010 Jeanette Cummings, Dc, PC Clinic/Center 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 2010-07-23
1982921607 Naveen Sachdev Md Inc Clinic/Center 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 2010-04-21
1538298336 Oregon Sleep and Pulmonary, LLC Clinic/Center 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 2007-03-05
1538191606 Northwest Neurological Specialists PC Clinic/Center 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 2006-07-07
1659939296 The Travelling Tao Clinic/Center 121 Nw Everett St, Portland, OR 97209-4049 2019-05-29
1689189151 Personaleyes, LLC Clinic/Center 14740 Nw Cornell Rd, Portland, OR 97229-5496 2017-12-06
1851810626 Cascadia Behavioral Healthcare, Inc Clinic/Center 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 2017-09-13
1114372653 Oregon Interventional Pain Consultants, LLC Clinic/Center 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 2016-05-03
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Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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