Active NPI
Trevor I Macleod, DC
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1316442593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6312
- Practice address
- 14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775 - Phone
- (971) 341-4182
- NPI assigned
- Mar 28, 2018
- Last updated
- Aug 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6312 | OR | Primary |
Addresses
Primary practice location
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Mailing address
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Phone (971) 341-4182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250224001980 | OR | Practitioner - Chiropractic | 2264795152 | Practice locations: Lake Oswego, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6312 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1316442593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "971-341-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "971-341-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "TREVOR",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.