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DR. JEFFREY EDWARD DEVINE D.C.
NPI 1174667356
Chiropractor in Lake Oswego, OR

Active since February 19, 2007Accepts Medicare Assignment
3 MONROE PKWY STE G, LAKE OSWEGO, OR 97035(503) 495-3454(503) 495-3454 Get Directions Write a Review

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

Record update history: Dec 18, 2025, Feb 21, 2017 (2 updates tracked since 2017).

About Dr. Jeffrey Edward Devine D.c. NPPES

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

DR. JEFFREY EDWARD DEVINE D.C. (NPI 1174667356) is an individual chiropractor in Lake Oswego, Oregon, licensed in Oregon (27-3429) and active in the NPI registry since February 2007. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1174667356
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFREY EDWARD DEVINECredential: D.C.
Location Address3 MONROE PKWY STE GLake Oswego, OR 97035-8874
Mailing Address3 Monroe Pkwy Ste GLake Oswego, OR 97035-8874 · (503) 495-3454 · Fax (503) 495-3454
Phone(503) 495-3454
Fax(503) 495-3454
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 19, 2007
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1174667356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 27-3429
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Edward Devine D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224198411
PECOS Enrollment IDI20081118000390

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Devine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Form & Function Chiropractic PC
Same address
Chiropractor
3 MONROE PKWY STE G
Lake Oswego, OR 97035
  • Reassigned Medicare billing, Oregon enrollment
NPI 1033072251 (503) 495-3454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
38 services11 patients

Other Providers at the Same Location NPPES

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

FORM & FUNCTION CHIROPRACTIC PC
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 Jeffrey Devine's NPI number?

The NPI number for Jeffrey Devine is 1174667356. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Jeffrey Devine located?

Jeffrey Devine practices at 3 Monroe Pkwy Ste G, Lake Oswego, OR 97035. The listed phone number is (503) 495-3454.

What is Jeffrey Devine's specialty?

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

Is Jeffrey Devine enrolled in Medicare?

Yes. Jeffrey Devine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Devine reassigns Medicare benefits to Form & Function Chiropractic PC (Lake Oswego, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Devine 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 10 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.