KORE HEALTH LLC (NPI# 1396294518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396294518 |
| Entity Type | Organization |
| Organization Name | KORE HEALTH LLC |
| Other Organization Name | HEALTHSOURCE OF PORTLAND EAST |
| Practice Address |
7817 Se Stark St Portland OR 97215-2339 |
| Practice Telephone | 5033766279 |
| Mailing Telephone | 5033766279 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | DR. ANTHONY Q PHAM (CLINIC OWNER/DOCTOR) |
| Authorized Official Telephone | 5038208545 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5021 | OR | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| HealthSource of Portland East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023552411 | Kore Health LLC | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-12-05 |
| 1023456308 | Kore Health LLC | Acupuncturist | 38 E 5th Ave, Ste 1, Denver, CO 80203-3436 | 2013-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KORE HEALTH LLC | 7817 Se Stark Street, Portland, OR 97215 |
| Street Address |
7817 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558569418 | Dokken Ramey | Chiropractor | 7817 Se Stark St, Portland, OR 97215-2341 | 2007-07-03 |
| 1962017459 | Kaitlyn Douglas | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2020-09-10 |
| 1023552411 | Kore Health LLC | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-12-05 |
| 1558804161 | April Antoinette Aviles | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-11-30 |
| 1255601258 | Anthony Quang Pham | Chiropractor | 7817 Se Stark St, Portland, OR 97215-2339 | 2012-01-06 |
| 1275861858 | Deanna Marie Wilson | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2009-11-19 |
| 1871829135 | Alexis D Shields | Naturopath | 7817 Se Stark St, Portland, OR 97215-2339 | 2009-10-21 |
| 1427296540 | Trina Mcdaniel | Specialist | 7817 Se Stark St, Portland, OR 97215-2339 | 2009-01-27 |
| 1730349846 | Tarah B Lehman | Mechanotherapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2008-06-11 |
| 1093975104 | Sante LLC | Mechanotherapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| Find all providers in PORTLAND | ||||
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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.