NPI 1225223597 · live from the CMS NPI Registry
Susan E Addison, DC
Chiropractor in Portland, OR. National Provider Identifier 1225223597, active.
NPI record
| NPI | 1225223597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1340 Sw Bertha Blvd, Ste 102, Portland, OR 97219 |
| Practice phone | 503-880-9204 |
| Mailing address | 4207 Se Woodstock Blvd, Box 495, Portland, OR 97206 |
| Enumerated | September 10, 2007 |
| Last updated | October 27, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 71 3760 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.