Active NPI
James E. Corstorphine, DC
- Chiropractor
- Lake Oswego, OR
National Provider Identifier
1972961209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2851
- Practice address
- 15962 Boones Ferry Rd
Suite 200
Lake Oswego, OR 97035-4351 - Phone
- (503) 765-7029
- NPI assigned
- Feb 1, 2016
- 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 | 2851 | OR | Primary |
Addresses
Primary practice location
15962 Boones Ferry Rd
Suite 200
Lake Oswego, OR 97035-4351
Mailing address
20440 SW Prindle Rd
Tualatin, OR 97062-9701
Phone (971) 221-9182
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 |
|---|---|---|---|
| 2851 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1972961209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20440 SW PRINDLE RD",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629701",
"telephone_number": "971-221-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15962 BOONES FERRY RD",
"address_2": "SUITE 200",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354351",
"telephone_number": "503-765-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSTORPHINE",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2851",
"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 Feb 1, 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.