DR. TYLOR JUSTIN DC
NPI 1366193245
Chiropractor in Portland, OR

Active since January 12, 2022
1030 NW MARSHALL ST, PORTLAND, OR 97209(503) 227-2279 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tylor Justin Dc NPPES

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

DR. TYLOR JUSTIN DC (NPI 1366193245) is an individual chiropractor in Portland, Oregon, licensed in Oregon (6196) and active in the NPI registry since January 2022. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1366193245
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLOR JUSTINCredential: DC
Location Address1030 NW MARSHALL STPortland, OR 97209-2988
Mailing Address1030 Nw Marshall StPortland, OR 97209-2988 · (503) 227-2279
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1366193245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 6196
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.
1030 NW MARSHALL ST, Portland, OR 97209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tylor Justin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284028176
PECOS Enrollment IDI20220217002532

Medicare Billing Reassignment

Medicare enrollment records show Tylor Justin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
1030 NW MARSHALL ST
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
  • 15 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 10

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

Chiropractor (Sports Physician)
1030 NW MARSHALL ST
PORTLAND, OR 97209
Massage Therapist
1030 NW MARSHALL ST
PORTLAND, OR 97209
Massage Therapist
1030 NW MARSHALL ST
PORTLAND, OR 97209
Chiropractor
1030 NW MARSHALL ST
PORTLAND, OR 97209
Chiropractor
1030 NW MARSHALL ST
PORTLAND, OR 97209
Chiropractor
1030 NW MARSHALL ST, SUITE C3
PORTLAND, OR 97209
Clinic/Center (Primary Care)
1030 NW MARSHALL ST
PORTLAND, OR 97209
Massage Therapist
1030 NW MARSHALL ST
PORTLAND, OR 97209

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 Tylor Justin's NPI number?

The NPI number for Tylor Justin is 1366193245. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Tylor Justin located?

Tylor Justin practices at 1030 NW Marshall St, Portland, OR 97209. The listed phone number is (503) 227-2279.

What is Tylor Justin's specialty?

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

Is Tylor Justin enrolled in Medicare?

Yes. Tylor Justin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tylor Justin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tylor Justin reassigns Medicare benefits to Hosmer Chiropractic Health LLC (Portland, OR). The 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 Tylor Justin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tylor Justin accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tylor Justin 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 Tylor Justin was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.