WHITAKER WELLNESS LLC NPI 1831641505

NPI Information

  • NPI: 1831641505
  • Provider Name: WHITAKER WELLNESS LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: POWELL VALLEY CHIROPRACTIC CLINIC
  • CLIA Number: 38D2205966
  • Address: 4253 SE 182ND AVE
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 661-5090

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NPI Details

WHITAKER WELLNESS LLC is a clinic center in Gresham, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WHITAKER WELLNESS LLC NPI is 1831641505. The provider is registered as an organization entity type.
The provider Is Doing Business As Powell Valley Chiropractic Clinic.

The provider's business location address is:

4253 SE 182ND AVE
GRESHAM, OR
ZIP 97030-083
Phone: (503) 661-5090

The provider's authorized official is Michael Robert Whitaker .
The authorized official title is Member and has the following contact phone number (503) 661-5090.

The CLIA number assigned to this NPI record is 38D2205966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2016 and was last updated on 10/28/2016.

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
1261Q00000XClinic/Center5545OREGONYes

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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