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ELEVATE WELLNESS CHIROPRACTIC LLC NPI 1508491200


NPI Information

NPI: 1508491200
Provider Name: ELEVATE WELLNESS CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4515 SW CORBETT AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 224-5454
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ELEVATE WELLNESS CHIROPRACTIC LLC is a chiropractor in Portland, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ELEVATE WELLNESS CHIROPRACTIC LLC NPI is 1508491200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4515 SW CORBETT AVE
PORTLAND, OR
ZIP 97239-289
Phone: (503) 224-5454
Fax: (503) 386-2626

The provider's authorized official is David Juratovac .
The authorized official title is Owner and has the following contact phone number (503) 224-5464.

The enumeration date for this NPI number is 3/3/2020 and was last updated on 3/3/2020.


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
1225700000XMassage TherapistNo
2111N00000XChiropractorYes

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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