# OREGON TRAIL INTEGRATIVE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083300628
- **Authorized official:** DR. JONATHAN CLIFTON RHUE DC (OWNER)
- **Authorized official phone:** (503) 201-7532

## Contact information

- **Practice address:** 17500 STRAUSS AVE, SANDY, OR 97055-8060
- **Practice address phone:** (503) 668-5822
- **Practice address fax:** (503) 668-3662
- **Mailing address:** PO BOX 909, BORING, OR 97009-0909
- **Mailing address phone:** (503) 668-5822
- **Mailing address fax:** (503) 668-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | NULL | Yes |
| 202D00000X | Integrative Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2023
- **Last updated:** 04/17/2023