Organization Active NPI

Keith Turner Slicho, DO, PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, OR
National Provider Identifier
1720614449
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
KEITH TURNER SLICHO, DO, PC
Practice address
700 NE Multnomah St Ste 330
Portland, OR 97232-4103
Phone
(503) 208-7032
Fax
(503) 208-7034
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Keith Turner Slichoq, DO
Title
Owner
Phone
(503) 208-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

700 NE Multnomah St Ste 330
Portland, OR 97232-4103

Mailing address

700 NE Multnomah St Ste 330
Portland, OR 97232-4103
Phone (503) 208-7032

Other names 1

  • The Osteopath Doing business as

National Provider Directory

National Provider Directory

Locations

700 NE Multnomah St
Ste 330
Portland, OR 97232
Phone (503) 208-7032

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1720614449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE MULTNOMAH ST STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324103",
            "telephone_number": "503-208-7032",
            "fax_number": "503-208-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE MULTNOMAH ST STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324103",
            "telephone_number": "503-208-7032",
            "fax_number": "503-208-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH TURNER SLICHO, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "SLICHOQ",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-208-7032",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Osteopath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.