EVERGREEN CHIROPRACTIC (EVERGREEN CHIROPRACTIC PC) NPI 1003423914

Chiropractor in Gresham, OR

NPI 1003423914 Organization Chiropractor

About EVERGREEN CHIROPRACTIC (EVERGREEN CHIROPRACTIC PC)

Evergreen Chiropractic (evergreen Chiropractic Pc) is a provider established in Gresham, Oregon specializing in chiropractor. The NPI number of Evergreen Chiropractic (evergreen Chiropractic Pc) is 1003423914 and was assigned on September 2020. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated March 2021. Evergreen Chiropractic (evergreen Chiropractic Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Evergreen Chiropractic. The authorized official of this NPI record is Dr. Michael Jared Manns Dc (Chiropractor/owner)

A chiropractor like Evergreen Chiropractic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1003423914

Provider NameEVERGREEN CHIROPRACTIC (EVERGREEN CHIROPRACTIC PC)
Provider Location Address657 NE HOOD AVE GRESHAM, OR 97030
Provider Mailing Address5920 BURMA RD LAKE OSWEGO, OR 97035
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEVERGREEN CHIROPRACTIC
Other Name TypeDoing Business As (3)
Enumeration Date09-24-2020
Last Update Date03-05-2021


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
Taxonomy DescriptionA 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.

Business Address

EVERGREEN CHIROPRACTIC
657 NE HOOD AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 912-1156
Fax: (971) 292-2932

Get Directions


Mailing Address

EVERGREEN CHIROPRACTIC
5920 BURMA RD
LAKE OSWEGO, OR
ZIP 97035
Phone: (971) 330-8017



Authorized Official

Authorized Official NameDR. MICHAEL JARED MANNS DC
Authorized Official TitleCHIROPRACTOR/OWNER
Authorized Official Phone(503) 912-1156

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467509273 STEVEN GRANT LUMSDEN DC
Individual
Chiropractor657 NE HOOD AVE
GRESHAM, OR 97030
(503) 661-7811
1669800488MRS. TABITHA WHITE L.M.T.
Individual
Massage Therapist657 NE HOOD AVE
GRESHAM, OR 97030
(503) 661-7811
1801950795STEVEN G. LUMSDEN, DC P.C.
Organization
Chiropractor657 NE HOOD AVE
GRESHAM, OR 97030
(503) 661-7811
1912554692DR. MICHAEL JARED MANNS DC
Individual
Chiropractor657 NE HOOD AVE
GRESHAM, OR 97030
(503) 912-1156

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.