DR. JENNIFER NICOLE CALLAGHAN OCONNELL (NPI# 1609121391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609121391 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER NICOLE CALLAGHAN OCONNELL |
| Other Name | DR. JENNIFER NICOLE CALLAGHAN |
| Credential | DC |
| Practice Address |
2505 Sw Spring Garden St Ste 100 Portland OR 97219-3966 |
| Mailing Address |
5331 S Macadam Ave Ste 258-514 Portland OR 97239-6104 |
| Practice Telephone | 5038416222 |
| Practice Fax Number | 5038416199 |
| Mailing Telephone | 5032060300 |
| Mailing Fax Number | 5033600354 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5056 | OR | Chiropractic Providers |
| Street Address |
2505 SW SPRING GARDEN ST STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639351067 | Tara Crishann Nikzi | Acupuncturist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2007-11-27 |
| 1417592106 | Alan Worf | Massage Therapist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2019-11-17 |
| 1427569284 | Katrina Rose Owens | Massage Therapist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2017-10-19 |
| 1720538259 | Tiffany Corbett | Massage Therapist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2016-10-07 |
| 1558789776 | Faith Arebel Bales | Massage Therapist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2014-04-04 |
| 1861791170 | Therapia P.C. | Massage Therapist | 2505 Sw Spring Garden St Ste 100, Portland, OR 97219-3966 | 2011-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1427228220 | Seth David Watterson | Chiropractor | 4839 Ne Martin Luther King Jr Blvd Ste 207, Portland, OR 97211-3388 | 2008-03-07 |
| 1699822312 | Lynne Whalen | Chiropractor | 66 Pearl St Ste 320, Portland, ME 04101-4165 | 2007-01-04 |
| 1962576348 | Darren A Smith | Chiropractor | 4829 Ne Mlk Blvd, Portland, OR 97211-3491 | 2006-11-20 |
| 1750327318 | Dean Allen Clark | Chiropractor | 6105 S.w. Macadam Ave., Portland, OR 97239-3264 | 2006-06-21 |
| 1316987720 | John Charles Foland | Chiropractor | 2608 Ne Sandy Blvd, Portland, OR 97232-2342 | 2006-06-07 |
| 1801844568 | Karen B Kelsall | Chiropractor | 1615 Nw 23rd Ave, Suite 2, Portland, OR 97210-2557 | 2006-05-05 |
| 1295204634 | Kelsey Leigh Woodland | Chiropractor | 905 Se Ankeny St, Portland, OR 97214-1349 | 2018-11-15 |
| 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.