EMBODIED CHIROPRACTIC LLC NPI 1457736670

NPI Information

  • NPI: 1457736670
  • Provider Name: EMBODIED CHIROPRACTIC LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1715 E BURNSIDE ST
    PORTLAND, OR
    ZIP 97214
  • Phone: (971) 271-2459

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NPI Details

EMBODIED CHIROPRACTIC LLC is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EMBODIED CHIROPRACTIC LLC NPI is 1457736670. The provider is registered as an organization entity type.

The provider's business location address is:

1715 E BURNSIDE ST
PORTLAND, OR
ZIP 97214-531
Phone: (971) 271-2459

The provider's authorized official is Mandy Marziaz .
The authorized official title is Owner/chiropractor and has the following contact phone number (971) 271-2459.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.

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
1261Q00000XClinic/Center5638OREGONYes

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: 11/21/2025

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