Active NPI
Michael Pete Milanovich, DC
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1487622486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3621
- Practice address
- 16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4365 - Phone
- (503) 635-6005
- Fax
- (503) 635-6016
- NPI assigned
- Mar 8, 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 | 3621 | OR | Primary |
Addresses
Primary practice location
16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4365
Mailing address
16679 Boones Ferry Rd
Suite 105
Lake Oswego, OR 97035-4365
Phone (503) 635-6005
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 |
|---|---|---|---|
| 3621 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1487622486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16679 BOONES FERRY RD",
"address_2": "SUITE 105",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354365",
"telephone_number": "503-635-6005",
"fax_number": "503-635-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16679 BOONES FERRY RD",
"address_2": "SUITE 105",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354365",
"telephone_number": "503-635-6005",
"fax_number": "503-635-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANOVICH",
"first_name": "MICHAEL",
"middle_name": "PETE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3621",
"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 May 12, 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.