PACIFIC CHIROPRACTIC & WELLNESS CENTER, LLC (NPI# 1407248859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407248859 |
| Entity Type | Organization |
| Organization Name | PACIFIC CHIROPRACTIC & WELLNESS CENTER, LLC |
| Practice Address |
17221 Se Division St Ste 21 Portland OR 97236-1240 |
| Practice Telephone | 5037600778 |
| Practice Fax Number | 5037600753 |
| Mailing Telephone | 5037600778 |
| Mailing Fax Number | 5037600753 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | DR. SOLOMIYA BACHINSKY (OWNER) |
| Authorized Official Telephone | 5037612110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5519 | OR | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC CHIROPRACTIC & WELLNESS CENTER, LLC | 17221 Se Division St, Portland, OR 97236 |
| Street Address |
17221 SE DIVISION ST STE 21 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437455060 | Linda D Brown | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2011-01-29 |
| 1306321906 | Diana Shapovalova | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2018-09-28 |
| 1962916742 | Mary Nicole Grizhuk | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2017-11-30 |
| 1801321971 | Jeffrey Alan Anderson | Chiropractor | 17221 Se Division St, Portland, OR 97236-1240 | 2017-04-26 |
| 1275082067 | Stanislav Kukushkin | Massage Therapist | 17221 Se Division St, Portland, OR 97236 | 2016-09-22 |
| 1801222682 | Alla A Lobasyuk | Chiropractor | 17221 Se Division St, Portland, OR 97236-1240 | 2013-09-24 |
| 1154757664 | Andre Raymond Laurier Jr. | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2013-09-17 |
| 1992049712 | Mary Vaandering | Specialist | 17221 Se Division St, S-21, Portland, OR 97236-1240 | 2012-11-16 |
| 1396002614 | Artur S Snegur | Specialist | 17221 Se Division St, Ste. 21, Portland, OR 97236-1240 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| 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.