OrganizationActive
Mary Ann Penny Domm
NPI 1396154944 · Health Service Clinic/Center · Portland, OR
Provider details
- NPI number
- 1396154944
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Ann Domm, Owner/Provider(503) 477-7222
- License
- 27 2983 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8550 Sw Apple Way
Portland, OR 97225-1772
Phone: (503) 477-7222
Fax: (503) 894-9699
Street-level locationGet directions
Mailing address
8550 Sw Apple Way
Portland, OR 97225-1772
Other names (DBA / former)
- Doing business as
- Jna Chiropractic, LLC
Registry dates
- Enumerated
- 2014-08-07
- Last updated
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.