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FUNCTIONAL HEALTH PAIN MANAGEMENT NPI 1295912202


NPI Information

NPI: 1295912202
Provider Name: FUNCTIONAL HEALTH PAIN MANAGEMENT
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
6105 SW MACADAM AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 244-0920
Get Directions

FUNCTIONAL HEALTH PAIN MANAGEMENT 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. FUNCTIONAL HEALTH PAIN MANAGEMENT NPI is 1295912202. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6105 SW MACADAM AVE
PORTLAND, OR
ZIP 97239-640
Phone: (503) 244-0920

The provider's authorized official is Dean Allen Clark .
The authorized official title is Owner and has the following contact phone number (503) 244-0920.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician1856OREGONYes

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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