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ADVANCED SPORT AND SPINE CHIROPRACTIC LLC
NPI 1962092031
Chiropractor in Pleasant Hill, OR

Active since January 22, 2021
85203 JASPER PARK RD, PLEASANT HILL, OR 97455(541) 852-8806 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2021, Jan 22, 2021 (2 updates tracked since 2021).

About Advanced Sport And Spine Chiropractic Llc NPPES

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

ADVANCED SPORT AND SPINE CHIROPRACTIC LLC (NPI 1962092031) is a healthcare organization registered as a chiropractor in Pleasant Hill, Oregon and active in the NPI registry since January 2021. The organization lists Justin Coryell, Owner, as its authorized official.

NPPES Registry Identity

NPI1962092031
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED SPORT AND SPINE CHIROPRACTIC LLC
Location Address85203 JASPER PARK RDPleasant Hill, OR 97455-9773
Mailing Address85203 Jasper Park RdPleasant Hill, OR 97455-9773 · (541) 852-8806
Phone(541) 852-8806
Organization SubpartNo
Authorized OfficialJustin CoryellOwner · (541) 852-8806
Enumeration DateJanuary 22, 2021
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1962092031 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.
85203 JASPER PARK RD, Pleasant Hill, OR 97455
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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

Other Providers at the Same Location NPPES

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

JUSTIN CORYELL
Chiropractor
85203 JASPER PARK RD
PLEASANT HILL, OR 97455
Lane County (541) 852-8806

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 Advanced Sport And Spine Chiropractic LLC's NPI number?

The NPI number for Advanced Sport And Spine Chiropractic LLC is 1962092031. It was assigned to this organization in the NPPES registry on January 22, 2021.

Where is Advanced Sport And Spine Chiropractic LLC located?

Advanced Sport And Spine Chiropractic LLC is located at 85203 Jasper Park Rd, Pleasant Hill, OR 97455. The listed phone number is (541) 852-8806.

What is Advanced Sport And Spine Chiropractic 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 Advanced Sport And Spine Chiropractic LLC was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.