NPIMap

Organization Active NPI

Oregon Trail Chiropractic LLC

  • Chiropractor
  • Estacada, OR
National Provider Identifier
1487942215
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4059 Issued in 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
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Dr. Jonathan C Rhue, D.C.NPI 1447497789
Title
Owner
Phone
(503) 201-7532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4059 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150629000694 OR Part B Supplier - Clinic/Group Practice 9335451780 Receives reassigned benefits from 3 practitioners
Practice locations: Estacada, OR; Sandy, OR

National Provider Directory

National Provider Directory

Locations

437 NE Main St
Estacada, OR 97023
Phone (503) 630-4037

17500 Strauss Ave
Sandy, OR 97055
Phone (503) 630-4037

38706 Pioneer Blvd
Sandy, OR 97055
Phone (503) 708-9853

38953 Pioneer Blvd
Sandy, OR 97055
Phone (503) 668-5822

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1487942215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970090909",
            "telephone_number": "503-630-4037",
            "fax_number": "503-630-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 NE MAIN ST",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970238528",
            "telephone_number": "503-630-4037",
            "fax_number": "503-630-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17500 Strauss Ave",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "OR",
            "postal_code": "970558060",
            "country_code": "US",
            "telephone_number": "503-668-5822",
            "fax_number": "503-668-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OREGON TRAIL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "RHUE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-201-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estacada, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.