Active NPIIndividual providerSole proprietor

Dr. Susan E Addison, DC

Chiropractor in Portland, Oregon

NPI Number1225223597
Practice location
1340 SW Bertha Blvd, Ste 102, Portland, OR 97219-2097
Fax
360-574-5991
Last updated
October 27, 2018

Susan E Addison is a Chiropractor based in Portland, OR. Susan E Addison practices in Portland, OR and has the professional credentials of DC. The NPI Number for Susan E Addison is 1225223597 and holds a License No. 71 3760 (OR). The current practice location address for Susan E Addison is 1340 SW Bertha Blvd, Ste 102, Portland, OR 97219-2097 and can be reached out via phone at 503-880-9204 and via fax at 360-574-5991.

Provider Profile Details

NPI Number
1225223597
Provider Name
Susan E Addison
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1340 SW Bertha Blvd, Ste 102, Portland, OR 97219-2097
Phone Number
503-880-9204
Fax Number
360-574-5991
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2007
Last Update Date
October 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1340 SW Bertha Blvd
Ste 102
Portland, OR 97219-2097
State
Oregon
Zip
97219-2097
Phone Number
503-880-9204
Fax Number
360-574-5991
Portland, OR 97219Get directions →

Provider Business Mailing Address Details

Address
4207 SE Woodstock Blvd
Box 495
Portland, OR 97206
City
Portland
State
OR
Zip
97206
Phone Number
503-880-9204
Fax Number
360-574-5991

License Information

License Number
71 3760
License State
OR
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan E Addison, DC?

The NPI number of Dr. Susan E Addison, DC is 1225223597. It was assigned on September 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan E Addison, DC?

Dr. Susan E Addison, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in OR under license number 71 3760.

Where does Dr. Susan E Addison, DC practice?

The practice location is 1340 SW Bertha Blvd, Ste 102, Portland, OR 97219-2097. The office can be reached at 503-880-9204 (phone) or 360-574-5991 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225223597 directly on the NPPES registry website.

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