DR. STEVEN JOHN PROM DC NPI 1578548566

NPI Information

  • NPI: 1578548566
  • Provider Name: DR. STEVEN JOHN PROM, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1659 NE MARKET DR
    FAIRVIEW, OR
    ZIP 97024
  • Phone: (503) 465-9100

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NPI Details

DR. Steven John Prom, DC is a chiropractor in Fairview, 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. DR. Steven John Prom, DC NPI is 1578548566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1659 NE MARKET DR
FAIRVIEW, OR
ZIP 97024-867
Phone: (503) 465-9100
Fax: (503) 665-2290

The enumeration date for this NPI number is 12/13/2005 and was last updated on 7/8/2007.

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
1111N00000XChiropractor932HAWAIINo
2111N00000XChiropractor3096OREGONYes

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
1U78749MEDICARE UPIN
2106267MEDICARE ID-TYPE UNSPECIFIED

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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