David W Selby, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO14260 Issued in OR

Practice address

16463 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-4374

Phone

(503) 635-1350

Fax

(503) 635-8470

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Grove Family Medical Clinic LLC

  • Primary Care Clinic/Center
  • Lake Oswego, OR
  • NPI 1366982258
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1114032836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354374",
            "telephone_number": "503-635-1350",
            "fax_number": "503-635-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354374",
            "telephone_number": "503-635-1350",
            "fax_number": "503-635-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO14260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenney Lanae Seale, LMT
• Melanie Sicard Seaman, MT (ASCP)
• Robert Wesley Seapy, MD
• Alyssa Seger, LMHC
• Gabriella Marie Seibert
• Lianna Charlee Semonsen
• Amber Marie Senger, LPC ASSOCIATE
• Senua Counseling Clinic
• Senua Counseling Clinic, LLC
• Serenaissance LLC

• Family Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.