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OSTEOPATHIC MEDICAL ASSOCIATES NPI 1457555666


NPI Information

NPI: 1457555666
Provider Name: OSTEOPATHIC MEDICAL ASSOCIATES
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
6564 SE LAKE RD STE 101
MILWAUKIE, OR
ZIP 97222
Phone: (503) 236-2303
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OSTEOPATHIC MEDICAL ASSOCIATES is a neuromusculoskeletal medicine omm in Milwaukie, OR. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. OSTEOPATHIC MEDICAL ASSOCIATES NPI is 1457555666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6564 SE LAKE RD STE 101
MILWAUKIE, OR
ZIP 97222-138
Phone: (503) 236-2303
Fax: (503) 236-2614

The provider's authorized official is Edward Keim Goering .
The authorized official title is Owner and has the following contact phone number (503) 236-2303.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine433453OREGONNo
2208100000XPhysical Medicine & Rehabilitation433453OREGONNo
3363A00000XPhysician Assistant433453OREGONNo
4204D00000XNeuromusculoskeletal Medicine & OMM433453OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130308MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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