Active NPI
Sandra Tressa Osterberg, DC
- Chiropractor
- Beaverton, OR
National Provider Identifier
1396270757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3109
- Practice address
- 17933 NW Evergreen Pkwy
Suite 285
Beaverton, OR 97006-7659 - Phone
- (503) 828-9265
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Sex
- Female
- 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 | 3109 | OR | Primary |
Addresses
Primary practice location
17933 NW Evergreen Pkwy
Suite 285
Beaverton, OR 97006-7659
Mailing address
17933 NW Evergreen Pakway
Suite 285
Beaverton, OR 97006-7661
Phone (503) 828-9265
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3109 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1396270757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17933 NW EVERGREEN PAKWAY",
"address_2": "SUITE 285",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067661",
"telephone_number": "503-828-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17933 NW EVERGREEN PKWY",
"address_2": "SUITE 285",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067659",
"telephone_number": "503-828-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERBERG",
"first_name": "SANDRA",
"middle_name": "TRESSA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 24, 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.