NPI 1265877856 · live from the CMS NPI Registry
Active Oregon Chiropractic
Chiropractor in Gladstone, OR. National Provider Identifier 1265877856, active.
NPI record
| NPI | 1265877856 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 130 W Clarendon St, Gladstone, OR 97027 |
| Practice phone | 503-655-2897 |
| Enumerated | May 8, 2013 |
| Last updated | April 18, 2023 |
| Authorized official | Stephanie Tolonen, Owner/Chiropractic Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Health Services | 261QH0100X | — |
| Chiropractor primary | 111N00000X | 5140 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.