Provider Demographics
NPI:1689971293
Name:ORT, JOSHUA DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:ORT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 MCCLAINE ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1921
Mailing Address - Country:US
Mailing Address - Phone:503-874-8678
Mailing Address - Fax:503-874-1411
Practice Address - Street 1:436 MCCLAINE ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1921
Practice Address - Country:US
Practice Address - Phone:503-874-8678
Practice Address - Fax:503-874-1411
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR4086OtherOREGON BOARD OF CHIROPRACTIC