KELSALL CHIROPRACTIC CLINIC PC NPI 1063674679

NPI Information

  • NPI: 1063674679
  • Provider Name: KELSALL CHIROPRACTIC CLINIC PC
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Address: 1615 NW 23RD AVE
    SUITE 2
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 223-8719

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NPI Details

KELSALL CHIROPRACTIC CLINIC PC is a sports physician chiropractor in Portland, OR. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. KELSALL CHIROPRACTIC CLINIC PC NPI is 1063674679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1615 NW 23RD AVE
SUITE 2
PORTLAND, OR
ZIP 97210-563
Phone: (503) 223-8719
Fax: (503) 223-3237

The provider's authorized official is Amy Burgess .
The authorized official title is Office Manager and has the following contact phone number (503) 223-8719.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician2997OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U64819MEDICARE UPINOREGON
2R100924OTHERMEDICARE PROVIDER ID
3134346MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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