Oregon Trail Chiropractic LLC
Organization Active NPI Chiropractor · Estacada, OR
NPI 1487942215 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1487942215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4059 (OR)
- Legal business name
- OREGON TRAIL CHIROPRACTIC LLC
- Practice address
- 437 NE Main St
Estacada, OR 97023-8528 - Phone
- (503) 630-4037
- Fax
- (503) 630-5636
- NPI assigned
- Jul 13, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Jonathan C Rhue, D.C.
- Title
- Owner
- Phone
- (503) 201-7532
Practitioners 9
-
Jonathan Rhue, D.C.
-
Lisa Bayer, LMT
-
Chelsea Boppre, DC
-
Paul Ebensteiner, DC
-
Kaitlin Leonard, L.AC.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150629000694 | OR | Part B Supplier - Clinic/Group Practice | 9335451780 |
Receives reassigned benefits from 3 practitioners Practice locations: Estacada, OR; Sandy, OR |
National Provider Directory
Locations
437 NE Main St
Estacada, OR 97023
Phone (503) 630-4037
38953 Pioneer Blvd
Sandy, OR 97055
Phone (503) 668-5822
38706 Pioneer Blvd
Sandy, OR 97055
Phone (503) 708-9853
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4059 | OR | Yes |
Addresses
Primary practice location
437 NE Main St
Estacada, OR 97023-8528
Mailing address
PO Box 909
Boring, OR 97009-0909
Phone (503) 630-4037
Other practice location 1
17500 Strauss Ave
Sandy, OR 97055-8060
Phone (503) 668-5822
Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.