Individual provider · Type 1 NPI

Shane Harrison Ott, DC

Chiropractor · Portland, OR

NPI number 1093050163 Active

Practice location

2230 NW Pettygrove St, Suite 110
Portland, OR 97210-2659

Call (503) 224-4804 Map

Fax (503) 224-7391

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5091 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1093050163

Shane Harrison Ott, DC's National Provider Identifier is 1093050163, issued on Nov 30, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Nov 30, 2012.