SHADY COVE CHIROPRACTIC, LLC
NPI 1154089423
Chiropractor in Shady Cove, OR

Active since December 03, 2021CLIA 38D2337345 · Waiver
21885 OR-62, SHADY COVE, OR 97539(541) 878-3603 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Cove Chiropractic, Llc NPPES

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

SHADY COVE CHIROPRACTIC, LLC (NPI 1154089423) is a healthcare organization registered as a chiropractor in Shady Cove, Oregon and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Gina Eilertson, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1154089423
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHADY COVE CHIROPRACTIC, LLC
Location Address21885 OR-62Shady Cove, OR 97539
Mailing Address832 Mountain View DrEagle Point, OR 97524-5616
Organization SubpartNo
Authorized OfficialGina EilertsonOwner/chiropractor · (541) 282-4640
Enumeration DateDecember 3, 2021
NPPES CertifiedNovember 23, 2021
NPI 1154089423 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.
21885 OR-62, Shady Cove, OR 97539

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2337345

Shady Cove Chiropractic, LLC · Shady Cove, OR
Active · expires Jan 20, 2028
CLIA Number38D2337345
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorGina M. Eilertson
Laboratory Phone(541) 878-3603
Laboratory LocationShady Cove Chiropractic, LLC21885 Hwy 62, Shady Cove, OR 97539
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Chiropractor
21885 OR-62
SHADY COVE, OR 97539

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 Shady Cove Chiropractic, LLC's NPI number?

The NPI number for Shady Cove Chiropractic, LLC is 1154089423. It was assigned to this organization in the NPPES registry on December 3, 2021.

Where is Shady Cove Chiropractic, LLC located?

Shady Cove Chiropractic, LLC is located at 21885 Or-62, Shady Cove, OR 97539. The listed phone number is (541) 878-3603.

What is Shady Cove Chiropractic, LLC's specialty?

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

Does Shady Cove Chiropractic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2337345) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shady Cove Chiropractic, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Shady Cove Chiropractic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shady Cove Chiropractic, LLC was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.