NPIMap

Organization Active NPI

Oregon Trail Integrative Care, LLC

  • Integrative Medicine Physician
  • Sandy, OR
National Provider Identifier
1083300628
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
OREGON TRAIL INTEGRATIVE CARE, LLC
Practice address
17500 Strauss Ave
Sandy, OR 97055-8060
Phone
(503) 668-5822
Fax
(503) 668-3662
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Dr. Jonathan Clifton Rhue, DCNPI 1447497789
Title
Owner
Phone
(503) 201-7532

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
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

17500 Strauss Ave
Sandy, OR 97055-8060

Mailing address

PO Box 909
Boring, OR 97009-0909
Phone (503) 668-5822

National Provider Directory

National Provider Directory

Locations

17500 Strauss Ave
Sandy, OR 97055
Phone (503) 630-4037

Practitioners & affiliated clinicians

Practitioners 11

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": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1083300628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970090909",
            "telephone_number": "503-668-5822",
            "fax_number": "503-668-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 STRAUSS AVE",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558060",
            "telephone_number": "503-668-5822",
            "fax_number": "503-668-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON TRAIL INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "RHUE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-201-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.