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DR. MICHAEL D RAEBURN D.C, CCSP
NPI 1366644114
Chiropractor in Portland, OR

Active since June 04, 2007
2064 N KILLINGSWORTH ST, PORTLAND, OR 97217(503) 719-7742(503) 719-7571 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael D Raeburn D.c, Ccsp NPPES

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

DR. MICHAEL D RAEBURN D.C, CCSP (NPI 1366644114) is an individual chiropractor in Portland, Oregon, licensed in Oregon (273652) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1366644114
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL D RAEBURNCredential: D.C, CCSP
Location Address2064 N KILLINGSWORTH STPortland, OR 97217-4439
Mailing Address2064 N. Killlingsworth StPortland, OR 97217-4439 · (503) 719-7742 · Fax (503) 719-7571
Phone(503) 719-7742
Fax(503) 719-7571
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 4, 2010
✔ NPI 1366644114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 273652
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.
2064 N KILLINGSWORTH ST, Portland, OR 97217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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 Michael Raeburn's NPI number?

The NPI number for Michael Raeburn is 1366644114. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Michael Raeburn located?

Michael Raeburn practices at 2064 N Killingsworth St, Portland, OR 97217. The listed phone number is (503) 719-7742.

What is Michael Raeburn's specialty?

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

What insurance does Michael Raeburn accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michael Raeburn 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 Michael Raeburn was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.