OrganizationActive
Healthsource of Se Portland
NPI 1659792620 · Chiropractor · Portland, OR
Healthsource of Se Portland is a Chiropractor organization in Portland, OR (NPI 1659792620).
Provider details
- NPI number
- 1659792620
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Edward Kimmi, Clinic Director(503) 641-4244
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5424 Se 82nd Ave
Portland, OR 97266-4811
Phone: (503) 774-1252
Fax: (503) 774-1271
Street-level locationGet directions
Mailing address
5424 Se 82nd Ave
Portland, OR 97266-4811
Registry dates
- Enumerated
- 2013-12-18
- Last updated
- 2013-12-18
Frequently asked questions
- What is Healthsource of Se Portland's NPI number?
- Healthsource of Se Portland's National Provider Identifier (NPI) is 1659792620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of Se Portland?
- Healthsource of Se Portland is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of Se Portland located?
- Healthsource of Se Portland's practice location on file with NPPES is 5424 Se 82nd Ave, Portland, OR 97266-4811.
- What is Healthsource of Se Portland's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of Se Portland is (503) 774-1252.
- Who is the authorized official for Healthsource of Se Portland?
- The authorized official listed on Healthsource of Se Portland's NPPES record is Edward Kimmi, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of Se Portland's NPI active?
- Yes — Healthsource of Se Portland's NPI (1659792620) is active in the NPPES registry as of the last update on 2013-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.