NPIMap

Organization Active NPI

Lake Oswego Chiropractic Clinic, P.C.

  • Chiropractor
  • Lake Oswego, OR
National Provider Identifier
1033399738
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2329 Issued in OR
Legal business name
LAKE OSWEGO CHIROPRACTIC CLINIC, P.C.
Practice address
315 2ND St
Lake Oswego, OR 97034-3114
Phone
(503) 635-6246
Fax
(503) 635-1450
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott E AbrahamsonNPI 1437363322
Title
Owner
Phone
(503) 635-6246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2329 OR Primary

Addresses

Primary practice location

315 2ND St
Lake Oswego, OR 97034-3114

Mailing address

315 2ND St
Lake Oswego, OR 97034-3114
Phone (503) 635-6246

National Provider Directory

National Provider Directory

Locations

315 2ND St
Lake Oswego, OR 97034
Phone (503) 635-6246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1033399738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 2ND ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343114",
            "telephone_number": "503-635-6246",
            "fax_number": "503-635-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 2ND ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343114",
            "telephone_number": "503-635-6246",
            "fax_number": "503-635-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OSWEGO CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-635-6246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.