DR. KELLIN DAVID KEESEE (NPI# 1124492210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124492210 |
| Entity Type | Individual |
| Full Name | DR. KELLIN DAVID KEESEE |
| Credential | DC |
| Practice Address |
4847 Meadows Rd Suite 153 Lake Oswego OR 97035-2625 |
| Practice Telephone | 9713308578 |
| Mailing Telephone | 9713308578 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5692 | OR | Chiropractic Providers |
| Street Address |
4847 MEADOWS RD SUITE 153 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356730956 | Jennifer M Ward | Acupuncturist | 4847 Meadows Rd, Suite 153, Lake Oswego, OR 97035-2509 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518234350 | Justin Ryan Jelen | Chiropractor | 15962 Boones Ferry Rd Ste 202, Lake Oswego, OR 97035-4360 | 2011-11-22 |
| 1558586578 | Portland Sports & Injury Center LLC | Chiropractor | 4000 Kruse Way Place, 3-#245, Lake Oswego, OR 97035 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381140 | Tyler Miller | Chiropractor | 455 Nw Wanapa St, Cascade Locks, OR 97014 | 2018-06-28 |
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1871039768 | Sissel Holloway | Chiropractor | 501 Portway Ave Ste 203, Hood River, OR 97031-1288 | 2017-01-16 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1588079776 | Function Performance Sport Chiropractic LLC | Chiropractor | 502 7th St Ste 100, Oregon City, OR 97045-2246 | 2014-06-25 |
| 1295162006 | Blake Testa | Chiropractor | 2663 12th St Se, Salem, OR 97302-2154 | 2013-10-11 |
| 1396182580 | Katherine M Sill | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-05-28 |
| 1376883728 | Halsy James Carter | Chiropractor | 12700swnorth Dakota St 180, Tigard, OR 97223-0802 | 2013-02-21 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1275804171 | Dewar Chiropractic, LLC | Chiropractor | 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | 2012-01-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.