CHIROPRACTIC LIFE CENTER
NPI 1235302795
Chiropractor - Orthopedic in Portland, OR

Active since April 04, 2008
12762 SE STARK ST, PLAZA 125, BLDG D, PORTLAND, OR 97233(503) 255-7746(503) 255-0818 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chiropractic Life Center NPPES

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

CHIROPRACTIC LIFE CENTER (NPI 1235302795) is a healthcare organization registered as an orthopedic in Portland, Oregon and active in the NPI registry since April 2008. The organization lists Mark Ronald Johansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1235302795
Entity TypeOrganization
Primary Taxonomy111NX0800X
Legal Business NameCHIROPRACTIC LIFE CENTER PC
Location Address12762 SE STARK ST, PLAZA 125, BLDG DPortland, OR 97233-1539
Mailing Address12762 Se Stark St, Plaza 125, Bldg DPortland, OR 97233-1539 · (503) 255-7746 · Fax (503) 255-0818
Fax(503) 255-0818
Organization SubpartNo
Authorized OfficialMark Ronald JohansenOwner · (503) 255-7746
Enumeration DateApril 4, 2008
Last NPPES UpdateAugust 1, 2019
NPI 1235302795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · OrthopedicChiropractic Providers
Taxonomy Code111NX0800X
License Licensed in OR · 271737
Definition
Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
12762 SE STARK ST, Portland, OR 97233

Other Names 1

Doing Business AsChiropractic Life Center

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

Other Providers at the Same Location NPPES 3

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

Chiropractor
12762 SE STARK ST, PLAZA 125, BLDG D
PORTLAND, OR 97233
Chiropractor (Orthopedic)
12762 SE STARK ST, PLAZA 125 BLDG D
PORTLAND, OR 97233
Chiropractor
12762 SE STARK ST, PLAZA 125 BLDG. D
PORTLAND, OR 97233

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 Life Center PC's NPI number?

The NPI number for Chiropractic Life Center PC is 1235302795. It was assigned to this organization in the NPPES registry on April 4, 2008. The provider is doing business as Chiropractic Life Center.

Where is Chiropractic Life Center PC located?

Chiropractic Life Center PC is located at 12762 SE Stark St Plaza 125, Bldg D, Portland, OR 97233. The listed phone number is (503) 255-7746.

What is Chiropractic Life Center PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Orthopedic, with taxonomy code 111NX0800X.

What insurance does Chiropractic Life Center PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Chiropractic Life Center PC 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 Chiropractic Life Center PC was last updated on August 1, 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.