Active NPI
Haakon Kuhnle Andresen, DC
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1861935124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5771
- Practice address
- 4035 Mercantile Dr Ste 112
Lake Oswego, OR 97035-2587 - Phone
- (503) 850-4526
- Fax
- (503) 908-1555
- NPI assigned
- Nov 18, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5771 | OR | Primary |
Addresses
Primary practice location
4035 Mercantile Dr Ste 112
Lake Oswego, OR 97035-2587
Mailing address
2835 SE 25TH Ave
Portland, OR 97202-1220
Phone (713) 449-0918
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5771 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1861935124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 SE 25TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021220",
"telephone_number": "713-449-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 MERCANTILE DR STE 112",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352587",
"telephone_number": "503-850-4526",
"fax_number": "503-908-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRESEN",
"first_name": "HAAKON",
"middle_name": "KUHNLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.