LIFE CLINIC OF OR PC
NPI 1831961812
Chiropractor in Portland, OR

Active since October 24, 2023
600 SW 116 AVE, PORTLAND, OR 97225(503) 616-9938 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, Oct 24, 2023 (2 updates tracked since 2023).

About Life Clinic Of Or Pc NPPES

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

LIFE CLINIC OF OR PC (NPI 1831961812) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since October 2023. The organization lists Reza Alizadeh, President, as its authorized official.

NPPES Registry Identity

NPI1831961812
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CLINIC OF OR PC
Location Address600 SW 116 AVEPortland, OR 97225-5941
Mailing AddressPo Box 549Chanhassen, MN 55317-0549
Organization SubpartNo
Authorized OfficialReza AlizadehPresident · (612) 868-6894
Enumeration DateOctober 24, 2023
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1831961812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
600 SW 116 AVE, Portland, OR 97225

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Clinic Of Or Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Clinic Of Or PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1689544702
600 SW 116 AVE
Portland, OR 97225
(503) 616-9950
✔ Accepts MedicareSame address
Chiropractic
NPI 1609470046
78178 SE STARK ST
Portland, OR 97215
(503) 975-5298
✔ Accepts Medicare9.5 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 Life Clinic Of Or PC's NPI number?

The NPI number for Life Clinic Of Or PC is 1831961812. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Life Clinic Of Or PC located?

Life Clinic Of Or PC is located at 600 SW 116 Ave, Portland, OR 97225. The listed phone number is (503) 616-9938.

What is Life Clinic Of Or PC's specialty?

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

Is Life Clinic Of Or PC enrolled in Medicare?

Yes. Life Clinic Of Or PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Clinic Of Or PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Life Clinic Of Or PC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Clinic Of Or PC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.