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NORTHWEST SPINE AND SPORT LLC
NPI 1336577311
Chiropractor - Sports Physician in Mcminnville, OR

Active since October 29, 2013
850 SW BOOTH BEND RD, MCMINNVILLE, OR 97128(503) 472-2111(503) 434-5886 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Spine And Sport Llc NPPES

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

NORTHWEST SPINE AND SPORT LLC (NPI 1336577311) is a healthcare organization registered as a sports physician in Mcminnville, Oregon and active in the NPI registry since October 2013. The organization lists Trevor Martin Stauber, Owner, as its authorized official.

NPPES Registry Identity

NPI1336577311
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameNORTHWEST SPINE AND SPORT LLC
Location Address850 SW BOOTH BEND RDMcminnville, OR 97128-9320
Mailing Address850 Sw Booth Bend RdMcminnville, OR 97128-9320 · (503) 472-2111 · Fax (503) 434-5886
Phone(503) 472-2111
Fax(503) 434-5886
Organization SubpartNo
Authorized OfficialTrevor Martin StauberOwner · (503) 472-2111
Enumeration DateOctober 29, 2013
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1336577311 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 · 4052
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.
850 SW BOOTH BEND RD, Mcminnville, OR 97128
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 5

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

PATRICK DAVIS LMT
Massage Therapist
850 SW BOOTH BEND RD
MCMINNVILLE, OR 97128
Yamhill County (503) 472-2111
DR. JESSI GRADIN D.C
Chiropractor
850 SW BOOTH BEND RD
MCMINNVILLE, OR 97128
Yamhill County (503) 472-2111
JOHN J HAJEK
Massage Therapist
850 SW BOOTH BEND RD
MCMINNVILLE, OR 97128
Yamhill County (503) 994-0587
DR. TREVOR MARTIN STAUBER D.C.
Chiropractor
850 SW BOOTH BEND RD
MCMINNVILLE, OR 97128
Yamhill County (503) 472-2111
DR. NICHOLAS ALEXANDER HEUER DC
Chiropractor
850 SW BOOTH BEND RD
MCMINNVILLE, OR 97128
Yamhill County (503) 472-2111

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 Northwest Spine And Sport LLC's NPI number?

The NPI number for Northwest Spine And Sport LLC is 1336577311. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Northwest Spine And Sport LLC located?

Northwest Spine And Sport LLC is located at 850 SW Booth Bend Rd, Mcminnville, OR 97128. The listed phone number is (503) 472-2111.

What is Northwest Spine And Sport LLC's specialty?

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

What insurance does Northwest Spine And Sport LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Northwest Spine And Sport LLC 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 Northwest Spine And Sport LLC was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.