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CHIROPRACTIC LIFE CENTER PC NPI 1235302795


NPI Information

NPI: 1235302795
Provider Name: CHIROPRACTIC LIFE CENTER PC

Doing Business As: CHIROPRACTIC LIFE CENTER

Classification: Chiropractor - 111NX0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
12762 SE STARK ST
PLAZA 125, BLDG D
PORTLAND, OR
ZIP 97233
Phone: (503) 255-7746
Get Directions

CHIROPRACTIC LIFE CENTER PC is an orthopedic chiropractor in Portland, OR. The provider is chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. CHIROPRACTIC LIFE CENTER PC NPI is 1235302795. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chiropractic Life Center.

The provider's business location address is:

12762 SE STARK ST
PLAZA 125, BLDG D
PORTLAND, OR
ZIP 97233-539
Phone: (503) 255-7746
Fax: (503) 255-0818

The provider's authorized official is Mark Ronald Johansen .
The authorized official title is Owner and has the following contact phone number (503) 255-7746.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 8/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NX0800XChiropractorOrthopedic271737OREGONYes

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: 11/14/2023

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