Individual provider Active NPI

Scott E. Abrahamson, D.C.

  • Chiropractor
  • Lake Oswego, OR
National Provider Identifier
1437363322
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272329 Issued in OR
Practice address
15800 Boones Ferry Rd Ste A1
Lake Oswego, OR 97035-3426
Phone
(503) 635-6246
Fax
(503) 635-1450
NPI assigned
May 9, 2007
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272329 OR Primary

Addresses

Primary practice location

15800 Boones Ferry Rd Ste A1
Lake Oswego, OR 97035-3426

Mailing address

15800 Boones Ferry Rd Ste A1
Lake Oswego, OR 97035-3426
Phone (503) 635-6246

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

LicenseStateTypeSpecialty
272329ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oswego Chiropractic Clinic, P.C. Chiropractor PastSince Apr 1, 1998 Accepting new patients
Justice Clinical Consults Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1437363322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 BOONES FERRY RD STE A1",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353426",
            "telephone_number": "503-635-6246",
            "fax_number": "503-635-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 BOONES FERRY RD STE A1",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353426",
            "telephone_number": "503-635-6246",
            "fax_number": "503-635-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "SCOTT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272329",
            "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 Jan 13, 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.