KENNEDY CHIROPRACTIC PC (NPI# 1982725719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982725719 |
| Entity Type | Organization |
| Organization Name | KENNEDY CHIROPRACTIC PC |
| Practice Address |
155 B Ave Suite 120 Lake Oswego OR 97034-3148 |
| Practice Telephone | 5036354558 |
| Mailing Telephone | 5036354558 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL D KENNEDY (OWNER) |
| Authorized Official Telephone | 5036354558 |
| Authorized Official Credential | PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1536 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | INDIVIDUAL NPI NUMBER | 1285734335 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295020246 | Kennedy Chiropractic PC | Chiropractor | 4140 Crain Hwy, Waldorf, MD 20603-4858 | 2011-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KENNEDY CHIROPRACTIC PC | 701 S 2nd St, Cherokee, IA 51012 |
| Street Address |
155 B AVE SUITE 120 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235675604 | Lo Solutions | Dietitian, Registered | 155 B Ave, Ste 120, Lake Oswego, OR 97034-3148 | 2017-01-10 |
| 1104232495 | Lila Ojeda | Dietitian, Registered | 155 B Ave, Suite 120, Lake Oswego, OR 97034-3148 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| 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 |
|---|---|---|---|---|
| 1649732140 | Kelsey Marie Hudson | Chiropractor | 4000 Kruse Way Pl Ste 3-245, Lake Oswego, OR 97035-5598 | 2019-04-03 |
| 1053836247 | Portland Optimal Wellness, LLC | Chiropractor | 14511 Westlake Dr Ste 148, Lake Oswego, OR 97035-7773 | 2017-08-08 |
| 1861935124 | Haakon Kuhnle Andresen | Chiropractor | 4035 Mercantile Dr Ste 112, Lake Oswego, OR 97035-2587 | 2016-11-18 |
| 1043559867 | Larry Thomas Burks | Chiropractor | 15800 Upper Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4085 | 2013-02-14 |
| 1841569761 | Wellness Chiropractic Center | Chiropractor | 543 Third Street, Suite A-3, Lake Oswego, OR 97034-5052 | 2011-12-21 |
| 1477849693 | Gregory Haylett Weidlich | Chiropractor | 16869 65th Ave # 356, Lake Oswego, OR 97035-7865 | 2011-06-27 |
| 1255625794 | Danielle Cornelius | Chiropractor | 15110 Boones Ferry Rd Ste 380, Lake Oswego, OR 97035-3462 | 2011-06-01 |
| 1134439409 | Jeffrey Mitchell Williams | Chiropractor | 15962 Boones Ferry Rd Ste 202, Lake Oswego, OR 97035-4360 | 2010-10-20 |
| 1265746838 | Ellen M. O'hara | Chiropractor | 4893 Parkview Dr, Ste. B, Lake Oswego, OR 97035-4490 | 2010-08-05 |
| 1871734186 | Jacque Rae Roberts | Chiropractor | 470 6th St Ste B, Lake Oswego, OR 97034-2920 | 2009-03-16 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
Please comment or provide details below to improve the information on KENNEDY CHIROPRACTIC 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.