CONERSTONE CHIROPRACTIC PS INC (NPI# 1609321157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609321157 |
| Entity Type | Organization |
| Organization Name | CONERSTONE CHIROPRACTIC PS INC |
| Other Organization Name | OREGON CS CHIROPRACTIC |
| Practice Address |
4655 Sw Griffith Dr Suite 180 Beaverton OR 97005-8728 |
| Practice Telephone | 5037465214 |
| Mailing Telephone | 5037465214 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | DR. YOUNGYUN KIM (OWNER) |
| Authorized Official Telephone | 5037465214 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5621 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OREGON CS Chiropractic | Doing Business As Name - Organization |
| Street Address |
4655 SW GRIFFITH DR SUITE 180 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-8728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801871223 | Rosemary F Detmer Stone | Optometrist | 4655 Sw Griffith Dr, #165, Beaverton, OR 97005-8728 | 2005-12-08 |
| 1063870285 | Dalynn Roberts | Massage Therapist | 4655 Sw Griffith Dr, #180, Beaverton, OR 97005-8728 | 2016-02-02 |
| 1013381581 | Timothy Rautio | Massage Therapist | 4655 Sw Griffith Dr, Suite 180, Beaverton, OR 97005-8728 | 2015-11-20 |
| 1073959946 | Jennifer Main | Dental Hygienist | 4655 Sw Griffith Dr, Beaverton, OR 97005-8728 | 2013-05-17 |
| 1124335070 | Youngyun Kim | Chiropractor | 4655 Sw Griffith Dr, Ste 180, Beaverton, OR 97005-8728 | 2010-09-13 |
| 1578704573 | A New Vision, P.C. | Optometrist | 4655 Sw Griffith Dr, Suite #165, Beaverton, OR 97005-8728 | 2009-03-20 |
| 1487865093 | Shahram Kazemzadeh | Dentist | 4655 Sw Griffith Dr, Beaverton, OR 97005-8711 | 2007-05-24 |
| 1104902667 | Northwest Dental Associates, PC | Dentist | 4655 Sw Griffith Dr, Suite 105, Beaverton, OR 97005-8711 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1184000911 | Jennifer Means Nd Lac PC | Clinic/Center | 4970 Sw Main Ave # 100, Beaverton, OR 97005-2740 | 2015-08-04 |
| 1407249659 | New Leaf Health Clinic | Clinic/Center | 14900 Sw Barrows Rd, Building B, Suite 201, Beaverton, OR 97007-7524 | 2015-03-12 |
| 1568792950 | Monarch Medical Group LLC | Clinic/Center | 2376 Nw Amberbrook Dr, Beaverton, OR 97006 | 2010-01-06 |
| 1851502918 | Neurobehavioral Evaluation and Therapy Services, LLC | Clinic/Center | 20000 Nw Walker Rd, In Care of Ogi-ohsu-701, Beaverton, OR 97006-8921 | 2007-05-24 |
| 1437256013 | Forward Stride | Clinic/Center | 23839 Sw Daniel Rd, Beaverton, OR 97078-5400 | 2006-09-17 |
| 1992303317 | Pacific Allergy LLC | Clinic/Center | 14631 Sw Millikan Way Ste 60, Beaverton, OR 97003-2999 | 2020-10-16 |
| 1871053587 | Acupuncture & Wellness Nw, PC | Clinic/Center | 3857 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2019-03-20 |
| 1487026480 | Luna Acupuncture & Wellness Center LLC | Clinic/Center | 14631 Sw Millikan Way, Suite 6, Beaverton, OR 97003-2999 | 2015-10-29 |
| 1831568070 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2015-09-17 |
| Find all providers in BEAVERTON | ||||
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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.