Individual provider Active NPI

Douglas Ortyn, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1184330896
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6284 Issued in OR
Practice address
4410 NE Fremont St
Portland, OR 97213-1154
Phone
(503) 249-0114
NPI assigned
Jan 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6284 OR Primary

Addresses

Primary practice location

4410 NE Fremont St
Portland, OR 97213-1154

Mailing address

4410 NE Fremont St
Portland, OR 97213-1154
Phone (503) 249-0114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422003047 OR Practitioner - Chiropractic 1456828847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2525 NW 23Rd Ave
Camas, WA 98607-7408

9221 SW Barbur Blvd
Suite 303
Portland, OR 97219-5421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6284ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Chiropractic LLC Chiropractor CurrentSince Feb 25, 2026 Accepting new patients
MDC Chiropractic LLC Chiropractor CurrentSince Jan 29, 2023 Accepting new patients
Aspen Chiropractic Associates PC Chiropractor PastSince Jan 29, 2023 Accepting new patients

Locations

9221 SW Barbur Blvd
Ste 303
Portland, OR 97219
Phone (206) 601-4111

4410 NE Fremont St
Portland, OR 97213
Phone (503) 249-0114

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1184330896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131154",
            "telephone_number": "503-249-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131154",
            "telephone_number": "503-249-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTYN",
        "first_name": "DOUGLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.