FUNCTIONAL HEALTH PAIN MANAGEMENT
NPI 1295912202
Chiropractor - Sports Physician in Portland, OR

Q: What is Functional Health Pain Management's NPI number?

The NPI number for Functional Health Pain Management is 1295912202. It was assigned to this organization in the NPPES registry on January 22, 2008.

Q: What is Functional Health Pain Management's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since January 22, 2008

6105 SW MACADAM AVE, PORTLAND, OR 97239(503) 244-0920 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Functional Health Pain Management NPPES

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

FUNCTIONAL HEALTH PAIN MANAGEMENT (NPI 1295912202) is a healthcare organization registered as a sports physician in Portland, Oregon and active in the NPI registry since January 2008. The organization lists Dean Allen Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1295912202

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameFUNCTIONAL HEALTH PAIN MANAGEMENT

Location Address6105 SW MACADAM AVEPortland, OR 97239-3640

Mailing Address6105 Sw Macadam AvePortland, OR 97239-3640 · (503) 244-0920

Phone(503) 244-0920

Organization SubpartNo

Authorized OfficialDean Allen ClarkOwner · (503) 244-0920

Enumeration DateJanuary 22, 2008

✔ NPI 1295912202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OR · 1856

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

6105 SW MACADAM AVE, Portland, OR 97239

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. BRADLEY ROYCE PENDERGRAFT LCSW

Social Worker (Clinical)

6105 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239

Multnomah County (503) 327-8713

COMPREHENSIVE PAIN CLINIC OF PORTLAND

Chiropractor (Sports Physician)

6105 SW MACADAM AVE
PORTLAND, OR 97239

Multnomah County (503) 244-3389

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 Functional Health Pain Management's NPI number?

The NPI number for Functional Health Pain Management is 1295912202. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Functional Health Pain Management located?

Functional Health Pain Management is located at 6105 SW Macadam Ave, Portland, OR 97239. The listed phone number is (503) 244-0920.

What is Functional Health Pain Management's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Functional Health Pain Management was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.