Organization Active NPI

Steven S. Pettigrew, D.C., P.C.

Doing business as Tree City Chiropractic

  • Chiropractor
  • Tualatin, OR
National Provider Identifier
1902070816
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
651374 Issued in OR
Legal business name
STEVEN S. PETTIGREW, D.C., P.C.
Doing business as
Tree City Chiropractic
Practice address
19300 SW Boones Ferry Rd
Tualatin, OR 97062-9086
Phone
(503) 692-6568
Fax
(503) 692-7212
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Steven S. Pettigrew, D.C.
Title
Chiropractic Physician
Phone
(503) 692-6568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 651374 OR Primary

Addresses

Primary practice location

19300 SW Boones Ferry Rd
Tualatin, OR 97062-9086

Mailing address

19300 SW Boones Ferry Rd
Tualatin, OR 97062-9086
Phone (503) 692-6568

Other names 1

  • Tree City Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1902070816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629086",
            "telephone_number": "503-692-6568",
            "fax_number": "503-692-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629086",
            "telephone_number": "503-692-6568",
            "fax_number": "503-692-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. PETTIGREW, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-692-6568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "651374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.