MINT CHIROPRACTIC LLC
NPI 1295615565
Chiropractor in Portland, OR

Active since September 05, 2025
14115 SE DIVISION ST, PORTLAND, OR 97236(503) 841-6633 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mint Chiropractic Llc NPPES

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

MINT CHIROPRACTIC LLC (NPI 1295615565) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since September 2025. The organization lists Eddy Mydouangchanh, Owner, as its authorized official.

NPPES Registry Identity

NPI1295615565
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMINT CHIROPRACTIC LLC
Location Address14115 SE DIVISION STPortland, OR 97236-2628
Mailing Address14115 Se Division StPortland, OR 97236-2628 · (503) 841-6633
Organization SubpartNo
Authorized OfficialEddy MydouangchanhOwner · (503) 516-5916
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1295615565 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.
14115 SE DIVISION ST, Portland, OR 97236

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

Other Providers at the Same Location NPPES 4

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

Chiropractor
14115 SE DIVISION ST
PORTLAND, OR 97236
Chiropractor
14115 SE DIVISION ST
PORTLAND, OR 97236
Acupuncturist
14115 SE DIVISION ST
PORTLAND, OR 97236
Acupuncturist
14115 SE DIVISION ST
PORTLAND, OR 97236

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 Mint Chiropractic LLC's NPI number?

The NPI number for Mint Chiropractic LLC is 1295615565. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Mint Chiropractic LLC located?

Mint Chiropractic LLC is located at 14115 SE Division St, Portland, OR 97236. The listed phone number is (503) 841-6633.

What is Mint Chiropractic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mint Chiropractic LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.