JUDITH BOOTHBY MS DC PC
NPI 1053629147
Chiropractor in Portland, OR

Active since September 22, 2010
1620 SE ANKENY ST, PORTLAND, OR 97214(503) 233-0943(503) 233-0943 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Judith Boothby Ms Dc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH BOOTHBY MS DC PC (NPI 1053629147) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since September 2010. The organization lists Judith W Boothby, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1053629147
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJUDITH BOOTHBY MS DC PC
Location Address1620 SE ANKENY STPortland, OR 97214-1448
Mailing Address1620 Se Ankeny StPortland, OR 97214-1448 · (503) 233-0943 · Fax (503) 233-0943
Fax(503) 233-0943
Organization SubpartNo
Authorized OfficialJudith W BoothbyChiropractor · (503) 233-0943
Enumeration DateSeptember 22, 2010
NPI 1053629147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 29906
Definition
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.
1620 SE ANKENY ST, Portland, OR 97214

Group Practice 1

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1620 SE ANKENY ST
PORTLAND, OR 97214
Chiropractor (Sports Physician)
1620 SE ANKENY ST
PORTLAND, OR 97214
Chiropractor
1620 SE ANKENY ST
PORTLAND, OR 97214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Boothby Ms Dc PC's NPI number?

The NPI number for Judith Boothby Ms Dc PC is 1053629147. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Judith Boothby Ms Dc PC located?

Judith Boothby Ms Dc PC is located at 1620 SE Ankeny St, Portland, OR 97214. The listed phone number is (503) 233-0943.

What is Judith Boothby Ms Dc PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Judith Boothby Ms Dc PC was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.