Individual provider Active NPI

Paul Botner, D.C.

  • Occupational Health Chiropractor
  • Hillsboro, OR
National Provider Identifier
1760790935
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
4043 Issued in OR
Practice address
1400 NE 48TH Ave
Hillsboro, OR 97124-5102
Phone
(503) 547-8400
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 4043 OR Primary

Addresses

Primary practice location

1400 NE 48TH Ave
Hillsboro, OR 97124-5102

Mailing address

1400 NE 48TH Ave
Hillsboro, OR 97124-5102

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge to Health Chiropractic LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

5920 NE Ray Cir
Ste 140
Hillsboro, OR 97124
Phone (503) 484-3638

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1760790935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245102",
            "telephone_number": "503-547-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTNER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "OR",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.