Active NPI
Michael Owen, D.C.
- Internist Chiropractor
- Beaverton, OR
National Provider Identifier
1083956536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 3212
- Practice address
- 3857 SW Hall Blvd
Beaverton, OR 97005-2049 - Phone
- (503) 367-7217
- NPI assigned
- Mar 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 3212 | OR | Primary |
| Nutrition Chiropractor | 111NN1001X | 3212 | OR |
Addresses
Primary practice location
3857 SW Hall Blvd
Beaverton, OR 97005-2049
Mailing address
PO Box 2316
Beaverton, OR 97075-2316
Phone (503) 367-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3212 | OR | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1083956536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2316",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970752316",
"telephone_number": "503-367-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052049",
"telephone_number": "503-367-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "OR",
"license": "3212",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "3212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.