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DR. KELLY OTTO D.C.
NPI 1144475302
Chiropractor in Tigard, OR

Active since December 01, 2008
9735 SW SHADY LN STE 303, TIGARD, OR 97223(503) 684-1273(503) 684-1274 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Otto D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY OTTO D.C. (NPI 1144475302) is an individual chiropractor in Tigard, Oregon, licensed in Oregon (3885) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1144475302
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY OTTOCredential: D.C.
Location Address9735 SW SHADY LN STE 303Tigard, OR 97223-5481
Mailing Address9735 Sw Shady Ln Ste 303Tigard, OR 97223-5481 · (503) 684-1273 · Fax (503) 684-1274
Phone(503) 684-1273
Fax(503) 684-1274
Sole ProprietorYes
Enumeration DateDecember 1, 2008
✔ NPI 1144475302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3885
Definition
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.
9735 SW SHADY LN STE 303, Tigard, OR 97223
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA DAWN ZIBRIDA LMT
Massage Therapist
9735 SW SHADY LN STE 303
TIGARD, OR 97223
Washington County (503) 684-1273
KALEY ANNE BOURGEOIS N.D.
Naturopath
9735 SW SHADY LN STE 303
TIGARD, OR 97223
Washington County (503) 594-7373
FRAMEWORK INTEGRATIVE MEDICINE, LLC
Naturopath
9735 SW SHADY LN STE 303
TIGARD, OR 97223
Washington County (503) 594-7373
ALL BODY CHIROPRACTIC, LLC
Chiropractor
9735 SW SHADY LN STE 303
TIGARD, OR 97223
Washington County (503) 684-1273
DR. JORGE ALEJANDRO REVERON ND
Naturopath
9735 SW SHADY LN STE 303
TIGARD, OR 97223
Washington County (503) 594-7373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Otto's NPI number?

The NPI number for Kelly Otto is 1144475302. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Kelly Otto located?

Kelly Otto practices at 9735 SW Shady Ln Ste 303, Tigard, OR 97223. The listed phone number is (503) 684-1273.

What is Kelly Otto's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kelly Otto was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.