Active NPI
Lawrence Karl Nelson, DC,DACNB
- Neurology Chiropractor
- Tigard, OR
National Provider Identifier
1699815647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 1695
- Practice address
- 7100 SW Hampton St
Ste 121a
Tigard, OR 97223-8390 - Phone
- (503) 855-4465
- Fax
- (888) 201-5353
- NPI assigned
- Feb 7, 2007
- Last updated
- Oct 11, 2016
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1695 | OR | Primary |
Addresses
Primary practice location
7100 SW Hampton St
Ste 121a
Tigard, OR 97223-8390
Mailing address
PO Box 2415
Wilsonville, OR 97070-2415
Phone (503) 855-4465
Other names 1
- Dr. Lawrence K Nelson
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 |
|---|---|---|---|
| 1695 | OR | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1699815647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2415",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970702415",
"telephone_number": "503-855-4465",
"fax_number": "888-201-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 SW HAMPTON ST",
"address_2": "STE 121A",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238390",
"telephone_number": "503-855-4465",
"fax_number": "888-201-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAWRENCE",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "DC,DACNB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OR",
"license": "1695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAWRENCE",
"last_name": "NELSON",
"middle_name": "K",
"prefix": "DR.",
"credential": "DC,",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.