Organization Active NPI

Milanovich Chiropractic LLC

  • Chiropractor
  • Lake Oswego, OR
National Provider Identifier
1205075769
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3621 Issued in OR
Legal business name
MILANOVICH CHIROPRACTIC LLC
Practice address
16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4365
Phone
(503) 635-6005
Fax
(503) 635-6016
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Mr. Michael P Milanovich, DC
Title
Manager
Phone
(503) 635-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3621 OR Primary

Addresses

Primary practice location

16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4365

Mailing address

16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4378
Phone (503) 635-6005

Other names 1

  • Milan Center Doing business as

National Provider Directory

National Provider Directory

Locations

16679 Boones Ferry Rd
Ste 105
Lake Oswego, OR 97035
Phone (503) 635-0200

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1205075769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16679 BOONES FERRY RD",
            "address_2": "SUITE 105",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354378",
            "telephone_number": "503-635-6005",
            "fax_number": "503-635-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16679 BOONES FERRY RD",
            "address_2": "SUITE 105",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354365",
            "telephone_number": "503-635-6005",
            "fax_number": "503-635-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILANOVICH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "MILANOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-635-6005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milan Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2009; 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.