Organization Active NPI

Shad a. McLagan DC PC

Doing business as Oregon Wellness Center

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1376871046
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3634 Issued in OR
Legal business name
SHAD A. MCLAGAN DC PC
Doing business as
Oregon Wellness Center
Practice address
4265 SW 109TH Ave
Beaverton, OR 97005-3028
Phone
(503) 526-8600
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Dr. Shad A McLagan, DC
Title
Owner
Phone
(503) 526-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3634 OR Primary

Addresses

Primary practice location

4265 SW 109TH Ave
Beaverton, OR 97005-3028

Mailing address

4265 SW 109TH Ave
Beaverton, OR 97005-3028
Phone (503) 526-8600

Other names 1

  • Oregon Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

4265 SW 109th Ave
Beaverton, OR 97005
Phone (503) 526-8600

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1376871046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 SW 109TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053028",
            "telephone_number": "503-526-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 SW 109TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053028",
            "telephone_number": "503-526-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAD A. MCLAGAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MCLAGAN",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-526-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.