ANNETTE M STEVKO DC CCSP NPI 1831125897

NPI Information

  • NPI: 1831125897
  • Provider Name: ANNETTE M STEVKO, DC CCSP
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • CLIA Number: 38D2057677
  • Address: 4111 NE TILLAMOOK ST
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 281-3400

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NPI Details

Annette M Stevko, DC CCSP 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. Annette M Stevko, DC CCSP NPI is 1831125897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4111 NE TILLAMOOK ST
PORTLAND, OR
ZIP 97212-342
Phone: (503) 281-3400
Fax: (503) 287-3787

The CLIA number assigned to this NPI record is 38D2057677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 5/7/2008.

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
1111N00000XChiropractor364880OREGONYes

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
167467OTHERKAISER
2ROOOOQGCVHMEDICARE PINOREGON
3T68165MEDICARE UPIN

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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