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INJURY AND TRAUMA CLINIC LLC
NPI 1932705969
Chiropractor in Portland, OR

Active since December 06, 2020
12774 SE STARK ST, PORTLAND, OR 97233(971) 254-8909(971) 347-3104 Get Directions Write a Review

NPPES record last updated: December 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Injury And Trauma Clinic Llc NPPES

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

INJURY AND TRAUMA CLINIC LLC (NPI 1932705969) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since December 2020. The organization lists Volodymyr Golovan, Manager, as its authorized official.

NPPES Registry Identity

NPI1932705969
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINJURY AND TRAUMA CLINIC LLC
Location Address12774 SE STARK STPortland, OR 97233-1539
Mailing Address12774 Se Stark StPortland, OR 97233-1539 · (971) 254-8909 · Fax (971) 347-3104
Phone(971) 254-8909
Fax(971) 347-3104
Organization SubpartNo
Authorized OfficialVolodymyr GolovanManager · (971) 254-8909
Enumeration DateDecember 6, 2020
NPPES CertifiedDecember 5, 2020
✔ NPI 1932705969 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.
12774 SE STARK ST, Portland, OR 97233
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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

Other Providers at the Same Location NPPES

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

AAA HEALTH SERVICES, LLC
Family Medicine
12774 SE STARK ST
PORTLAND, OR 97233
Multnomah County (503) 567-6077

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 Injury And Trauma Clinic LLC's NPI number?

The NPI number for Injury And Trauma Clinic LLC is 1932705969. It was assigned to this organization in the NPPES registry on December 6, 2020.

Where is Injury And Trauma Clinic LLC located?

Injury And Trauma Clinic LLC is located at 12774 SE Stark St, Portland, OR 97233. The listed phone number is (971) 254-8909.

What is Injury And Trauma Clinic LLC'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 Injury And Trauma Clinic LLC was last updated on December 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.