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FORM & FUNCTION CHIROPRACTIC PC
NPI 1033072251
Chiropractor in Lake Oswego, OR

Active since December 04, 2025
3 MONROE PKWY STE G, LAKE OSWEGO, OR 97035(503) 495-3454 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Dec 4, 2025 (2 updates tracked since 2025).

About Form & Function Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORM & FUNCTION CHIROPRACTIC PC (NPI 1033072251), doing business as Form & Function Chiropractic, is a healthcare organization registered as a chiropractor in Lake Oswego, Oregon and active in the NPI registry since December 2025. The organization lists Jeff Devine, Partner/dr, as its authorized official.

NPPES Registry Identity

NPI1033072251
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORM & FUNCTION CHIROPRACTIC PC
Location Address3 MONROE PKWY STE GLake Oswego, OR 97035-8874
Mailing Address3 Monroe Pkwy Ste GLake Oswego, OR 97035-8874 · (503) 495-3454
Phone(503) 495-3454
Organization SubpartNo
Authorized OfficialJeff DevinePartner/dr · (503) 330-3289
Enumeration DateDecember 4, 2025
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1033072251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
3 MONROE PKWY STE G, Lake Oswego, OR 97035
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Other Names 1

Doing Business AsForm & Function Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY EDWARD DEVINE D.C.
Chiropractor
3 MONROE PKWY STE G
LAKE OSWEGO, OR 97035
Clackamas County (503) 495-3454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Form & Function Chiropractic PC's NPI number?

The NPI number for Form & Function Chiropractic PC is 1033072251. It was assigned to this organization in the NPPES registry on December 4, 2025. The provider is doing business as Form & Function Chiropractic.

Where is Form & Function Chiropractic PC located?

Form & Function Chiropractic PC is located at 3 Monroe Pkwy Ste G, Lake Oswego, OR 97035. The listed phone number is (503) 495-3454.

What is Form & Function Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Form & Function Chiropractic PC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.