Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144475302 Individual Practitioner Male Practitioner

Dr. Kelly Otto , DC

Chiropractor • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Otto, DC is a registered healthcare professional specializing in Chiropractor in Tigard, OR. Practice services are available at 9735 SW SHADY LN STE 303 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9735 Sw Shady Ln Ste 303

Tigard, OR 972235481

Telephone 5036841273
Fax 5036841274
Associated Practice Facility / Clinic
🏢 All Body Chiropractic, Llc Facility NPI 1629206271

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Tigard, 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

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 3885

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

4 Associated Practitioners
NPI 1477502839

Doctor of Chiropractic

Barbara Zibrida , LMT

Massage Therapist

NPI 1477817674

Licensed Massage Therapist

Linda Phelan , LMT

Massage Therapist

NPI 1538387709

Licensed Massage Therapist

NPI 1780888552

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2008

Registered at 9735 SW SHADY LN STE 303, TIGARD, OR 972235481 (Tel: 5036841273)

📍
Updated Business Mailing Address December 01, 2008

Registered at 9735 SW SHADY LN STE 303, TIGARD, OR 972235481 (Tel: 5036841273)

👤
Provider Name / Credentials Updated December 01, 2008

Recorded as KELLY OTTO, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2008

Chiropractor (License #3885 in OR)

🟢
Initial NPI Registration & Enumeration December 01, 2008

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: 1144475302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2008
Last Update: December 01, 2008
Sole Proprietor: Yes

Mailing Address

9735 Sw Shady Ln Ste 303

Tigard, OR 972235481

Phone: 5036841273

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.