KHALSA PAIN RELIEF CLINIC, P.C.
NPI 1184862807
Chiropractor in Portland, OR

Active since February 03, 2009
5013 SE HAWTHORNE BLVD, PORTLAND, OR 97215(503) 238-1032(503) 233-1916 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Khalsa Pain Relief Clinic, P.c. NPPES

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

KHALSA PAIN RELIEF CLINIC, P.C. (NPI 1184862807) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since February 2009. The organization lists Amy Wong, Finance /record Manager, as its authorized official.

NPPES Registry Identity

NPI1184862807
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKHALSA PAIN RELIEF CLINIC, P.C.
Location Address5013 SE HAWTHORNE BLVDPortland, OR 97215-3255
Mailing Address5013 Se Hawthorne BlvdPortland, OR 97215-3255 · (503) 238-1032 · Fax (503) 233-1916
Fax(503) 233-1916
Organization SubpartNo
Authorized OfficialAmy WongFinance /record Manager · (503) 238-1032
Enumeration DateFebruary 3, 2009
✔ NPI 1184862807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 1809
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.
5013 SE HAWTHORNE BLVD, Portland, OR 97215

Other Identifiers 1

Medicare PINR0000QGCGNOR

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khalsa Pain Relief Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Khalsa Pain Relief Clinic, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1356348650
5013 SE HAWTHORNE BLVD
Portland, OR 97215
(503) 238-1032
✔ Accepts MedicareSame address

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

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 Khalsa Pain Relief Clinic, P.C.'s NPI number?

The NPI number for Khalsa Pain Relief Clinic, P.C. is 1184862807. It was assigned to this organization in the NPPES registry on February 3, 2009.

Where is Khalsa Pain Relief Clinic, P.C. located?

Khalsa Pain Relief Clinic, P.C. is located at 5013 SE Hawthorne Blvd, Portland, OR 97215. The listed phone number is (503) 238-1032.

What is Khalsa Pain Relief Clinic, P.C.'s specialty?

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

Is Khalsa Pain Relief Clinic, P.C. enrolled in Medicare?

Yes. Khalsa Pain Relief Clinic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Khalsa Pain Relief Clinic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Khalsa Pain Relief Clinic, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Khalsa Pain Relief Clinic, P.C. accept?

Health plans from Moda Health Plan, Inc. list Khalsa Pain Relief Clinic, P.C. 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 Khalsa Pain Relief Clinic, P.C. was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.