Active NPI
Gail Ott, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1760411466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2706
- Practice address
- 2230 NW Pettygrove St
Suite 110
Portland, OR 97210-2659 - Phone
- (503) 224-4804
- Fax
- (503) 224-7391
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2706 | OR | Primary |
Addresses
Primary practice location
2230 NW Pettygrove St
Suite 110
Portland, OR 97210-2659
Mailing address
2230 NW Pettygrove St
Suite 110
Portland, OR 97210-2659
Phone (503) 224-4804
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 |
|---|---|---|---|
| 2706 | OR | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1760411466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST",
"address_2": "SUITE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-224-4804",
"fax_number": "503-224-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST",
"address_2": "SUITE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-224-4804",
"fax_number": "503-224-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "GAIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.