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PORTLAND SPINE CENTER LLC
NPI 1649682022
Chiropractor in Portland, OR

Active since May 20, 2014
2106 NE 47TH AVE, PORTLAND, OR 97213(503) 282-7581 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Portland Spine Center Llc NPPES

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

PORTLAND SPINE CENTER LLC (NPI 1649682022) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since May 2014. The organization lists Theodore Robert Lillie, Owner, as its authorized official.

NPPES Registry Identity

NPI1649682022
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePORTLAND SPINE CENTER LLC
Location Address2106 NE 47TH AVEPortland, OR 97213-2064
Mailing Address2106 Ne 47th AvePortland, OR 97213-2064 · (503) 282-7581
Phone(503) 282-7581
Organization SubpartNo
Authorized OfficialTheodore Robert LillieOwner · (503) 282-7581
Enumeration DateMay 20, 2014
✔ NPI 1649682022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5123
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.
2106 NE 47TH AVE, Portland, OR 97213
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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 Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Spine Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Portland Spine Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Theodore Lillie, D.C.
Chiropractic
NPI 1053650531
2106 NE 47TH AVE
Portland, OR 97213
(503) 282-7581
✔ Accepts MedicareSame address

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

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 Portland Spine Center LLC's NPI number?

The NPI number for Portland Spine Center LLC is 1649682022. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Portland Spine Center LLC located?

Portland Spine Center LLC is located at 2106 NE 47th Ave, Portland, OR 97213. The listed phone number is (503) 282-7581.

What is Portland Spine Center LLC's specialty?

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

Is Portland Spine Center LLC enrolled in Medicare?

Yes. Portland Spine Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Spine Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Portland Spine Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Spine Center LLC accept?

Health plans from Moda Health Plan, Inc. list Portland Spine Center 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 Portland Spine Center LLC was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.