Theodore L Forcum III, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

272468 Issued in OR

Practice address

3990 Abbey Lane, B-102
Astoria, OR 97103

Phone

(503) 816-6581

NPI assigned

May 5, 2006

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back in Motion Sports Injuries Clinic, LLC

  • Specialist
  • Beaverton, OR
  • NPI 1194937722

  Sports Physician

  NPD (past) Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1346298957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 NW SKYLINE HEIGHTS DRIVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292641",
            "telephone_number": "503-816-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 ABBEY LANE, B-102",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "97103",
            "telephone_number": "503-816-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCUM",
        "first_name": "THEODORE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "272468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Fendish
• Jared Ferrell
• Teresa Ficken, RDH
• Megan Renee Figula
• Mark A Finkbeiner, CRNA
• Foresight Optical, Inc.
• Ashley Anne Foster-French
• James Edward Francis, R.PH., M.S.
• Frederick C. Smith DMD
• Tonya Frederick, RN, FNP

• Sports Physician Chiropractor in Astoria, OR
• Providers in Astoria, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.