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PONDEROSA FAMILY CHIROPRACTIC
NPI 1811222193
Chiropractor in Sisters, OR

Active since October 05, 2009
1011 DESPERADO TRAIL, STE 202, SISTERS, OR 97759(541) 588-6200(541) 588-6201 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ponderosa Family Chiropractic NPPES

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

PONDEROSA FAMILY CHIROPRACTIC (NPI 1811222193) is a healthcare organization registered as a chiropractor in Sisters, Oregon and active in the NPI registry since October 2009. The organization lists Anthony L Green, Chiropractor, Owner, as its authorized official.

NPPES Registry Identity

NPI1811222193
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePONDEROSA FAMILY CHIROPRACTIC
Location Address1011 DESPERADO TRAIL, STE 202Sisters, OR 97759
Mailing AddressPo Box 747Sisters, OR 97759 · (541) 588-6200 · Fax (541) 588-6201
Phone(541) 588-6200
Fax(541) 588-6201
Organization SubpartNo
Authorized OfficialAnthony L GreenChiropractor, Owner · (541) 588-6200
Enumeration DateOctober 5, 2009
✔ NPI 1811222193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3756
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.
1011 DESPERADO TRAIL, Sisters, OR 97759
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Other Identifiers 1

Medicare UPINR146023OR

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

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 Ponderosa Family Chiropractic's NPI number?

The NPI number for Ponderosa Family Chiropractic is 1811222193. It was assigned to this organization in the NPPES registry on October 5, 2009.

Where is Ponderosa Family Chiropractic located?

Ponderosa Family Chiropractic is located at 1011 Desperado Trail Ste 202, Sisters, OR 97759. The listed phone number is (541) 588-6200.

What is Ponderosa Family Chiropractic's specialty?

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

When was this NPI record last updated?

The NPPES record for Ponderosa Family Chiropractic was last updated on October 5, 2009. 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.