JUDITH BOOTHBY MS DC PC NPI 1053629147

NPI Information

  • NPI: 1053629147
  • Provider Name: JUDITH BOOTHBY MS DC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1620 SE ANKENY ST
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 233-0943

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NPI Details

JUDITH BOOTHBY MS DC PC is a chiropractor in Portland, OR. The provider is 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. JUDITH BOOTHBY MS DC PC NPI is 1053629147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1620 SE ANKENY ST
PORTLAND, OR
ZIP 97214-448
Phone: (503) 233-0943
Fax: (503) 233-0943

The provider's authorized official is Judith W Boothby .
The authorized official title is Chiropractor and has the following contact phone number (503) 233-0943.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor29906OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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