MY FAMILY CHIROPRACTOR, LLC (NPI# 1326211673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326211673 |
| Entity Type | Organization |
| Organization Name | MY FAMILY CHIROPRACTOR, LLC |
| Practice Address |
655 Nw Burnside Rd Ste 5 Gresham OR 97030-3745 |
| Mailing Address |
16409 Se Division St Suite 216, Pmb 285 Portland OR 97236-1931 |
| Practice Telephone | 5036662298 |
| Practice Fax Number | 5034922355 |
| Mailing Telephone | 5036662298 |
| Mailing Fax Number | 5034922355 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | DR. DANIEL L DESJARDINS (OWNER/DOCTOR) |
| Authorized Official Telephone | 5036662298 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3243 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ASH DOC ID | 1059020 | 01 |
| INDIVIDUAL NPI | 1215008834 | 01 |
| Street Address |
655 NW BURNSIDE RD STE 5 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989022 | Ideal Option, Pllc | Clinic/Center | 1140 Ne Burnside Rd, Gresham, OR 97030-5711 | 2018-04-13 |
| 1720313968 | University of Western States | Clinic/Center | 1304 Nw Civic Drive, Gresham, OR 97030 | 2009-10-06 |
| 1902440738 | Tina Gadzala Lmt | Clinic/Center | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-05 |
| 1215440557 | Mobile Vaccs LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-11-08 |
| 1982139051 | Healthez2u LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-04-26 |
| 1831641505 | Whitaker Wellness LLC | Clinic/Center | 4253 Se 182nd Ave, Gresham, OR 97030-5083 | 2016-10-28 |
| 1386919132 | Legacy Mount Hood Medical Center | Clinic/Center | 24800 Se Stark St, Gresham, OR 97030-3378 | 2012-03-13 |
| 1437442795 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2011-05-19 |
| 1972776243 | Balance Chinese Medical Clinic, LLC | Clinic/Center | 655 Nw Burnside Rd, Ste 5, Gresham, OR 97030-3745 | 2008-04-08 |
| 1053419218 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2006-09-20 |
| Find all providers in GRESHAM | ||||
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| 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.