MODERN CHIROPRACTIC - NPI 1972378438 - Chiropractor in Lake Oswego, OR

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Modern Chiropractic NPPES

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

MODERN CHIROPRACTIC (NPI 1972378438) is a healthcare organization registered as a chiropractor in Lake Oswego, Oregon and active in the NPI registry since November 2023. The organization lists Philip Devasto, Owner, as its authorized official.

NPPES Registry Identity

NPI1972378438

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameMODERN CHIROPRACTIC, LLC

Location Address16679 BOONES FERRY RD STE 105Lake Oswego, OR 97035-4378

Mailing Address16679 Boones Ferry Rd Ste 105Lake Oswego, OR 97035-4378 · (503) 635-6005

Phone(503) 635-6005

Organization SubpartNo

Authorized OfficialPhilip DevastoOwner · (617) 365-1527

Enumeration DateNovember 15, 2023

NPPES CertifiedNovember 15, 2023

✔ NPI 1972378438 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.

16679 BOONES FERRY RD STE 105, Lake Oswego, OR 97035

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Other Names 1

Doing Business AsModern Chiropractic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 6

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

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