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DR. JORDAN GUY PROBASCO D.C.
NPI 1174901490
Chiropractor in Portland, OR

Active since May 07, 2015
12661 SE POWELL BLVD, SUITE B, PORTLAND, OR 97236(503) 801-8888 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Guy Probasco D.c. NPPES

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

DR. JORDAN GUY PROBASCO D.C. (NPI 1174901490) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5631) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1174901490
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JORDAN GUY PROBASCOCredential: D.C.
Location Address12661 SE POWELL BLVD, SUITE BPortland, OR 97236-3400
Mailing Address1039 Se 78th AvePortland, OR 97215-3006 · (509) 435-7124
Phone(503) 801-8888
Sole ProprietorYes
Enumeration DateMay 7, 2015
✔ NPI 1174901490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5631
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.
Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 5631 (OR)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 5631 (OR)
Also ListedChiropractor · Occupational HealthTaxonomy 111NX0100X · License 5631 (OR)
Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X · License 5631 (OR)
12661 SE POWELL BLVD, Portland, OR 97236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. CHRISTINA VY D.M.D
Dentist (Endodontics)
12661 SE POWELL BLVD, SUITE E
PORTLAND, OR 97236
Multnomah County (503) 762-2500
ALL CITY DENTURE CLINIC PC
Dental Laboratory
12661 SE POWELL BLVD, SUITE B
PORTLAND, OR 97236
Multnomah County (503) 760-8409
JOVAN M GVOZDEN DMD MASTER DENTAL CORP
Preferred Provider Organization
12661 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 853-5284
HAZIM DENTAL CLINIC PC
Dentist (General Practice)
12661 SE POWELL BLVD, SUITE E
PORTLAND, OR 97236
Multnomah County (503) 761-1120
MR. MARK S JONES DMD
Dentist
12661 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-3214
AYSHA HYLAND
Massage Therapist
12661 SE POWELL BLVD, SUITE B
PORTLAND, OR 97236
Multnomah County (503) 801-8888

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 Jordan Probasco's NPI number?

The NPI number for Jordan Probasco is 1174901490. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Jordan Probasco located?

Jordan Probasco practices at 12661 SE Powell Blvd Suite B, Portland, OR 97236. The listed phone number is (503) 801-8888.

What is Jordan Probasco's specialty?

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

What insurance does Jordan Probasco accept?

Health plans from Providence Health Plan list Jordan Probasco 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 Jordan Probasco was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.