DR. STEPHANIE ANN GROOTENDORST D.C. NPI 1972695799

NPI Information

NPI: 1972695799
Provider Name: DR. STEPHANIE ANN GROOTENDORST, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
9643 NW MARING DR
PORTLAND, OR
ZIP 97229
Phone: (503) 292-8781
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DR. Stephanie Ann Grootendorst, D.C. 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. DR. Stephanie Ann Grootendorst, D.C. NPI is 1972695799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9643 NW MARING DR
PORTLAND, OR
ZIP 97229-275
Phone: (503) 292-8781

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/8/2007.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	2884	WASHINGTON	No
2	111N00000X	Chiropractor	2926	WISCONSIN	No
3	111N00000X	Chiropractor	2874	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U52851	MEDICARE UPIN	OREGON
2	40QGHCB	MEDICARE ID-TYPE UNSPECIFIED	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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