DR. JOHN PAUL BROTZMAN (NPI# 1669636098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636098 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAUL BROTZMAN |
| Credential | D.C. |
| Practice Address |
4445 Sw Barbur Blvd Suite 104 Portland OR 97239-4047 |
| Mailing Address |
Po Box 2576 Portland OR 97208-2576 |
| Practice Telephone | 1503226450 |
| Mailing Telephone | 1503333261 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3678 | OR | Chiropractic Providers |
| Street Address |
4445 SW BARBUR BLVD SUITE 104 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243974 | Brittany Danielle West | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2020-04-11 |
| 1134693187 | Tahlia Rachel Harrison | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2019-01-13 |
| 1538636626 | Esther Berg | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2018-10-27 |
| 1336654177 | Alexia Brooke Deleon | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-12-01 |
| 1548773963 | Maribel Guevara-myers | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-07 |
| 1699288274 | Janice M Muna | Student in an Organized Health Care Education/Training Program | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-06 |
| 1235649849 | Lianna Halle Tullis-robinson | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-10-09 |
| 1811424187 | Kimberly Dawn Adams | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-05-17 |
| 1396292652 | Jill Kelly | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2016-09-04 |
| 1285095588 | Gregory Bethell | Student in an Organized Health Care Education/Training Program | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2016-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.