Andrea Lynn Otken, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5644 Issued in OR

Practice address

925 Commercial St SE Ste 260
Salem, OR 97302-4288

Phone

(503) 391-9222

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Grey Forest Wellness LLC

  • Nutrition Chiropractor
  • Salem, OR
  • NPI 1053761544
  NPD (past) Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1972984755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PIEDMONT AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044308",
            "telephone_number": "727-265-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 COMMERCIAL ST SE STE 260",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024288",
            "telephone_number": "503-391-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTKEN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ostler
• Ostraca Counseling LLC
• Trisha Ostrander, OT
• Oswego Place Assisted Living Community LLC
• Patricia Sue Otis, M.D.
• Christina Renee Otoole, MA SLP-CCC
• Ashley Taylor Ott
• Daryl Glen Ottaway, RN
• Tiffany Teele Ottis, BA
• Ous Oregon Institute of Technology

• Chiropractor in Salem, OR
• Providers in Salem, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.