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MILWAUKIE SPINE AND SPORT, LLC
NPI 1679850010
Clinic/Center - Health Service in Milwaukie, OR

Active since November 14, 2011
2100 SE LAKE RD, SUITE 1, MILWAUKIE, OR 97222(503) 344-6711(503) 926-9365 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Milwaukie Spine And Sport, Llc NPPES

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

MILWAUKIE SPINE AND SPORT, LLC (NPI 1679850010) is a healthcare organization registered as a health service in Milwaukie, Oregon and active in the NPI registry since November 2011. The organization lists Karen Baranick, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1679850010
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMILWAUKIE SPINE AND SPORT, LLC
Location Address2100 SE LAKE RD, SUITE 1Milwaukie, OR 97222-7759
Mailing Address2100 Se Lake Rd, Suite 1Milwaukie, OR 97222-7759 · (503) 344-6711 · Fax (503) 926-9365
Phone(503) 344-6711
Fax(503) 926-9365
Organization SubpartNo
Authorized OfficialKaren BaranickChiropractor/owner · (503) 344-6711
Enumeration DateNovember 14, 2011
Last NPPES UpdateJune 24, 2013
✔ NPI 1679850010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in OR · 3998
2100 SE LAKE RD, Milwaukie, OR 97222
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Milwaukie Spine And Sport, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Milwaukie Spine And Sport, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Karen Baranick, D.C.
Chiropractic
NPI 1295066504
2100 SE LAKE RD SUITE 1
Milwaukie, OR 97222
(503) 679-8544
Same address
Marcus Heer, DC
Chiropractic
NPI 1558220533
2100 SE LAKE RD STE 1
Milwaukie, OR 97222
(503) 344-6711
Same address
Jordan Wilde, D.C.
Chiropractic
NPI 1922370543
191 SE STARK STREET
Gresham, OR 97233
(503) 328-9300
✔ Accepts Medicare8.7 mi

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 Milwaukie Spine And Sport, LLC's NPI number?

The NPI number for Milwaukie Spine And Sport, LLC is 1679850010. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Milwaukie Spine And Sport, LLC located?

Milwaukie Spine And Sport, LLC is located at 2100 SE Lake Rd Suite 1, Milwaukie, OR 97222. The listed phone number is (503) 344-6711.

What is Milwaukie Spine And Sport, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Milwaukie Spine And Sport, LLC enrolled in Medicare?

Yes. Milwaukie Spine And Sport, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Milwaukie Spine And Sport, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Milwaukie Spine And Sport, 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Milwaukie Spine And Sport, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Milwaukie 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 Milwaukie Spine And Sport, LLC was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.