WATSON CHIROPRACTIC, P.C. (NPI# 1609011824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609011824 |
| Entity Type | Organization |
| Organization Name | WATSON CHIROPRACTIC, P.C. |
| Practice Address |
18670 Willamette Dr 101 West Linn OR 97068-1796 |
| Mailing Address |
18670 Willamette Dr Ste 101 West Linn OR 97068-1796 |
| Practice Telephone | 5036977463 |
| Practice Fax Number | 5036972743 |
| Mailing Telephone | 5036977463 |
| Mailing Fax Number | 5036972743 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | DR. GONZZO WATSON (PRESIDENT) |
| Authorized Official Telephone | 5036977463 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2973 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 158842 | 05 | |
| UT | MEDICARE RR PART B | 350555 | 01 |
| OR | BCBS | 808027000 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WATSON CHIROPRACTIC, P.C. | 120 Molalla Ave, Oregon City, OR 97045 |
| Street Address |
18670 WILLAMETTE DR 101 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-1796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336403559 | Jessica Maynard | Acupuncturist | 18670 Willamette Dr, Suite 102, West Linn, OR 97068-1796 | 2012-07-03 |
| 1124396429 | West Linn Primary Care, P.c | Clinic/Center | 18670 Willamette Dr, Suite 101, West Linn, OR 97068-1796 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| 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 |
|---|---|---|---|---|
| 1639655012 | Lindsey Nicole Matusak | Chiropractor | 1750 Blankenship Rd Ste 295, West Linn, OR 97068-5104 | 2018-07-18 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1821459793 | Emmert Chiropractic Company | Chiropractor | 1830 Blankenship Rd Ste 210, West Linn, OR 97068-4179 | 2016-03-18 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1952682940 | Michael Francis Bryant | Chiropractor | 18302 S Whitten Ln, West Linn, OR 97068-9348 | 2011-09-02 |
| 1013248020 | Cameron Keith Johnson | Chiropractor | 21400 Salamo Road, West Linn, OR 97068 | 2010-01-15 |
| 1730347071 | Ryan Lambert Bellacov | Chiropractor | 5640 Hood St, West Linn, OR 97068-3224 | 2008-05-22 |
| 1346444080 | Bryan Jack Scott | Chiropractor | 2787 Sunset Ave, West Linn, OR 97068-3719 | 2007-06-14 |
| 1912122045 | Lori J Blain | Chiropractor | 23162 Bland Circle, West Linn, OR 97068 | 2007-04-16 |
| 1356494314 | Pamela Z. Paetzhold | Chiropractor | 1832 Willamette Falls Dr, West Linn, OR 97068-4660 | 2007-01-20 |
| Find all providers in WEST LINN | ||||
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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.