Sean Michael Ostlund, D.C., M.S.E.S.S.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5689 Issued in OR

Practice address

10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244

Phone

(503) 647-9944

NPI assigned

Dec 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1780059873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD",
            "address_2": "STE 295",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685104",
            "telephone_number": "503-344-4378",
            "fax_number": "503-334-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 NW GLENCOE RD",
            "address_2": "SUITE B",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338244",
            "telephone_number": "503-647-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLUND",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.E.S.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oregon Private Care LLC
• Peak Chiropractic, Inc
• Elaine A Rogers, LCSW
• Robert A. Siebers, BC-HIS
• Rachel Rose Sours, HIS
• Jennifer L South, OTR/L

• Sports Physician Chiropractor in North Plains, OR
• Providers in North Plains, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.