HEALTHSOURCE OF SE PORTLAND 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. HEALTHSOURCE OF SE PORTLAND NPI is 1659792620. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5424 SE 82ND AVE PORTLAND, OR ZIP 97266-811 Phone: (503) 774-1252 Fax: (503) 774-1271
The provider's authorized official is Edward Kimmi . The authorized official title is Clinic Director and has the following contact phone number (503) 641-4244.
The enumeration date for this NPI number is 12/18/2013 and was last updated on 12/18/2013.
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:
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: 3/30/2025
NPI Synchronization or Removal
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