Active NPI
Milanovich Chiropractic LLC
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1205075769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3621
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.