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EASTSIDE SPINE & INJURY
NPI 1740535681
Chiropractor in Milwaukie, OR

Active since July 17, 2012CLIA 38D2326244 · Waiver
4370 SE KING RD STE 220, MILWAUKIE, OR 97222(503) 654-7400(503) 654-1003 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastside Spine & Injury NPPES

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

EASTSIDE SPINE & INJURY (NPI 1740535681) is a healthcare organization registered as a chiropractor in Milwaukie, Oregon and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Brian Blake Sims, President, as its authorized official.

NPPES Registry Identity

NPI1740535681
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSCSM, INC
Location Address4370 SE KING RD STE 220Milwaukie, OR 97222-1613
Mailing Address4370 Se King Rd Ste 220Milwaukie, OR 97222-1613 · (503) 654-7400 · Fax (503) 654-1003
Phone(503) 654-7400
Fax(503) 654-1003
Organization SubpartNo
Authorized OfficialBrian Blake SimsPresident · (503) 654-7400
Enumeration DateJuly 17, 2012
Last NPPES UpdateDecember 16, 2019
✔ NPI 1740535681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3930
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.

4370 SE KING RD STE 220, Milwaukie, OR 97222
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Other Names 1

Doing Business AsEastside Spine & Injury

Other Identifiers 1

Medicaid500681331OR

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2326244

Eastside Spine & Injury · Milwaukie, OR
Active · expires Jun 29, 2027
CLIA Number38D2326244
Laboratory TypePractitioner Other
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDale R. Marcum
Laboratory Phone(503) 654-7400
Laboratory LocationEastside Spine & Injury4370 SE King Rd, #220, Milwaukie, OR 97222
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. KENT LEWIS VALENTE JR. LMT
Massage Therapist
4370 SE KING RD STE 220
MILWAUKIE, OR 97222
Clackamas County (503) 654-7400
DR. BRIAN BLAKE SIMS DC
Chiropractor
4370 SE KING RD STE 220
MILWAUKIE, OR 97222
Clackamas County (503) 654-7400

Frequently Asked Questions

What is SCSM, INC's NPI number?

The NPI number assigned to this healthcare provider is 1740535681, enumerated as an "organization" on July 17, 2012.

Where is the provider located?

The provider is located at 4370 SE KING RD STE 220 MILWAUKIE, OR 97222 and the phone number is (503) 654-7400.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does SCSM, INC accept?

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.