Provider Type Icon

BERTIK CHIROPRACTIC ENTERPRISES LLC NPI 1588801989


NPI Information

NPI: 1588801989
Provider Name: BERTIK CHIROPRACTIC ENTERPRISES, LLC

Doing Business As: PORTLAND CENTER FOR SPINAL CORRECTION

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
222 SE 8TH AVE
PORTLAND, OR
ZIP 97214
Phone: (503) 236-3766
Get Directions

BERTIK CHIROPRACTIC ENTERPRISES, 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. BERTIK CHIROPRACTIC ENTERPRISES, LLC NPI is 1588801989. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Portland Center For Spinal Correction.

The provider's business location address is:

222 SE 8TH AVE
PORTLAND, OR
ZIP 97214-206
Phone: (503) 236-3766
Fax: (503) 236-0014

The provider's authorized official is Barry D Shulak .
The authorized official title is Chiropractic Physician/owner and has the following contact phone number (503) 236-3766.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 1/7/2009.


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
1111N00000XChiropractor3716OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649466780OTHEROREGONNPI (FILED AS AN INDEPENDENT CONTRACTOR)

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.