MOUNTAIN LIFE CLINIC LLC
NPI 1922759174
Chiropractor in Welches, OR

Active since January 10, 2022
67195 E HIGHWAY 26, WELCHES, OR 97067(503) 288-4454(503) 288-1783 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Jan 14, 2022 (2 updates tracked since 2022).

About Mountain Life Clinic Llc NPPES

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

MOUNTAIN LIFE CLINIC LLC (NPI 1922759174), doing business as Mountain Life Clinic, is a healthcare organization registered as a chiropractor in Welches, Oregon and active in the NPI registry since January 2022. The organization lists Amber Potter, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1922759174
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMOUNTAIN LIFE CLINIC LLC
Location Address67195 E HIGHWAY 26Welches, OR 97067-9610
Mailing Address118 N Killingsworth StPortland, OR 97217-2435 · (503) 288-4454 · Fax (503) 288-1783
Fax(503) 288-1783
Organization SubpartNo
Authorized OfficialAmber PotterBilling Specialist · (503) 288-4454
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1922759174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedMassage TherapistTaxonomy 225700000X
67195 E HIGHWAY 26, Welches, OR 97067

Other Names 2

Doing Business AsMountain Life Clinic
Other NameJason And Melanie Brown Pc

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

Accepted 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)

Mountain Life Clinic Llc 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 Mountain Life Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1235955238
67195 E HIGHWAY 26 UNIT A1
Welches, OR 97067
(503) 287-0010
Same address
Chiropractic
NPI 1134261241
118 N KILLINGSWORTH ST
Portland, OR 97217
(503) 288-4454
37 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 Mountain Life Clinic LLC's NPI number?

The NPI number for Mountain Life Clinic LLC is 1922759174. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Mountain Life Clinic. The provider is also known as Jason and Melanie Brown PC.

Where is Mountain Life Clinic LLC located?

Mountain Life Clinic LLC is located at 67195 E Highway 26, Welches, OR 97067. The listed phone number is (503) 288-4454.

What is Mountain Life Clinic LLC's specialty?

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

Is Mountain Life Clinic LLC enrolled in Medicare?

Yes. Mountain Life Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Life Clinic LLC?

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

What insurance does Mountain Life Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mountain Life Clinic 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 Mountain Life Clinic LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.