Active NPI
Russell A Colgan, DC
- Chiropractor
- Salem, OR
National Provider Identifier
1346290202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 65 1141
- Practice address
- 1797 Lansing Ave NE
Salem, OR 97303-1632 - Phone
- (503) 364-5751
- Fax
- (503) 364-4357
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 65 1141 | OR | Primary |
Addresses
Primary practice location
1797 Lansing Ave NE
Salem, OR 97303-1632
Mailing address
1797 Lansing Ave NE
Salem, OR 97303-1632
Phone (503) 364-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025916 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65 1141 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346290202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 LANSING AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973031632",
"telephone_number": "503-364-5751",
"fax_number": "503-364-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 LANSING AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973031632",
"telephone_number": "503-364-5751",
"fax_number": "503-364-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLGAN",
"first_name": "RUSSELL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "65 1141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025916",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.