Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548566227 Individual Practitioner Male Practitioner

Dr. Philip A. Devasto , DC

Chiropractor • Lake Oswego, OR

Professional Overview & Biography Verified Profile Summary

Dr. Philip Devasto, DC is a certified Chiropractor practicing in Lake Oswego, OR. With approximately 16 years of clinical experience since graduating from Western States College Of Chiropractic in 2010, Dr. Devasto delivers high-quality medical care to the local community at 16679 BOONES FERRY RD STE 105.

Dr. Devasto does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

16679 Boones Ferry Rd Ste 105

Lake Oswego, OR 970354378

Telephone 5036356005
Associated Practice Facility / Clinic
🏢 Modern Chiropractic, Llc Facility NPI 1972378438

Medicare Profile & Education

Medical School

Western States College Of Chiropractic

Graduation Year

2010

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lake Oswego, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +1.1 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Lake Oswego, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Devasto (16 Years) 16 Yrs
Lake Oswego Specialty Average (14.9 Years) 14.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-11-15
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 4081

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Madelyn Dorrell , LMT, CA

Community Health Worker

NPI 1003448168

Licensed Massage Therapist, CA

NPI 1023879244

Doctor of Chiropractic

NPI 1306301585
NPI 1316317175

Doctor of Chiropractic

NPI 1487622486

Doctor of Chiropractic

Callie Albertus

Massage Therapist

NPI 1679082622

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 15, 2023

Registered at 16679 BOONES FERRY RD STE 105, LAKE OSWEGO, OR 970354378 (Tel: 5036356005)

📍
Updated Business Mailing Address November 15, 2023

Registered at 4817 SW HUMPHREY PARK CRST, PORTLAND, OR 972212333 (Tel: 6173651527)

NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2013

Registered at 1102 NW 10TH AVE, PORTLAND, OR 972093472 (Tel: 5032272279)

📍
Updated Business Mailing Address March 07, 2013

Registered at 5233 NE BROADWAY ST, PORTLAND, OR 972132758 (Tel: 6173651527)

👤
Provider Name / Credentials Updated March 07, 2013

Recorded as PHILIP DEVASTO, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Chiropractor (License #4081 in OR)

🟢
Initial NPI Registration & Enumeration January 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548566227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2011
Last Update: November 15, 2023
Sole Proprietor: No

Mailing Address

4817 Sw Humphrey Park Crst

Portland, OR 972212333

Phone: 6173651527

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.