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CHIROPRACTIC INJURY CENTER, LLC
NPI 1073073904
Chiropractor in Portland, OR

Active since March 25, 2019
11679 NE GLISAN ST, PORTLAND, OR 97220(971) 373-8257(971) 373-8259 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chiropractic Injury Center, Llc NPPES

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

CHIROPRACTIC INJURY CENTER, LLC (NPI 1073073904) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since March 2019. The organization lists Dmitriy V Tupikov, Owner, as its authorized official.

NPPES Registry Identity

NPI1073073904
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROPRACTIC INJURY CENTER, LLC
Location Address11679 NE GLISAN STPortland, OR 97220-2264
Mailing Address11679 Ne Glisan StPortland, OR 97220-2264 · (971) 373-8257 · Fax (971) 373-8259
Phone(971) 373-8257
Fax(971) 373-8259
Organization SubpartNo
Authorized OfficialDmitriy V TupikovOwner · (971) 373-8257
Enumeration DateMarch 25, 2019
✔ NPI 1073073904 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.
11679 NE GLISAN ST, Portland, OR 97220
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Other Identifiers 1

Medicaid500742574OR

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 4

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

DMITRIY TUPIKOV D.C.
Chiropractor
11679 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (971) 373-8257
DR. BENJAMIN LEE HEATH DC
Chiropractor (Rehabilitation)
11679 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 258-9592
DR. LEE NMI MCCAFFREY D.C.
Chiropractor
11679 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 258-9592
DR. ALFRED PETER DC
Chiropractor (Nutrition)
11679 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 258-9592

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 Chiropractic Injury Center, LLC's NPI number?

The NPI number for Chiropractic Injury Center, LLC is 1073073904. It was assigned to this organization in the NPPES registry on March 25, 2019.

Where is Chiropractic Injury Center, LLC located?

Chiropractic Injury Center, LLC is located at 11679 NE Glisan St, Portland, OR 97220. The listed phone number is (971) 373-8257.

What is Chiropractic Injury Center, LLC'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 Chiropractic Injury Center, LLC was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.