CLOCK TOWER CHIROPRACTIC & MASSAGE PC (NPI# 1669802617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669802617 |
| Entity Type | Organization |
| Organization Name | CLOCK TOWER CHIROPRACTIC & MASSAGE PC |
| Practice Address |
8642 Sw Main St Suite #130 Wilsonville OR 97070-6585 |
| Mailing Address |
Po Box 966 Wilsonville OR 97070-0966 |
| Practice Telephone | 5036859841 |
| Practice Fax Number | 5036829069 |
| Mailing Telephone | 5036859841 |
| Mailing Fax Number | 5036829069 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | DR. SARAH COLBY (OWNER/PRINCICPLE OPERATOR) |
| Authorized Official Telephone | 5036859841 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 23365 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE PTAN | R134000 | 01 |
| Street Address |
8642 SW MAIN ST SUITE #130 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-6585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| 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 |
|---|---|---|---|---|
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1720429186 | Alyssa Marie Kurth | Chiropractor | 30485 Sw Boones Ferry Rd Ste 104, Wilsonville, OR 97070-7845 | 2013-07-15 |
| 1730433400 | William Patrick Martindale | Chiropractor | 8600 Sw Salish Ln Ste 2, Wilsonville, OR 97070-9619 | 2012-11-02 |
| 1760733976 | Nao Nishimura | Chiropractor | 11279 Sw Churchill, Wilsonville, OR 97070-9571 | 2012-09-27 |
| 1114290194 | Ryan Mccormic | Chiropractor | 29970 Sw Town Center Loop W, Ste C, Wilsonville, OR 97070-7429 | 2012-02-21 |
| 1194951038 | Anne Pernichele Dc PC | Chiropractor | 25700 Sw Argyle Ave Ste C, Wilsonville, OR 97070-5799 | 2009-06-05 |
| 1659506855 | Justice Practice Consultants, Inc | Chiropractor | 8715 Sw Curry Dr, Unit B, Wilsonville, OR 97070-7874 | 2009-05-18 |
| 1962618173 | David A Duemling, Dc PC | Chiropractor | 8600 Sw Salish Ln, Suite One, Wilsonville, OR 97070-9632 | 2007-05-15 |
| 1215071568 | Sarah Marie Colby | Chiropractor | 29955 Sw Boones Ferry Rd, Ste. J, Wilsonville, OR 97070-9228 | 2007-02-19 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on CLOCK TOWER CHIROPRACTIC & MASSAGE PC.
| 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.