Dr Jordan Guy Probasco, DC - Chiropractor in Portland, OR

Dr Jordan Guy Probasco, DC is a Chiropractor based in Portland, Oregon. Dr Jordan Guy Probasco is licensed to practice in Oregon (license number 5631) and his current practice location is 12661 Se Powell Blvd, Suite B, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 801-8888.

NPI number for Dr Jordan Guy Probasco is 1174901490 and his current mailing address is 1039 Se 78th Ave, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174901490.

Contact Information

Dr Jordan Guy Probasco, DC
12661 Se Powell Blvd, Suite B,
Portland, OR 97236-3400
(503) 801-8888
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jordan Guy Probasco
GenderMale
SpecialityChiropractor
Location12661 Se Powell Blvd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174901490
  • Provider Enumeration Date: 05/07/2015
  • Last Update Date: 05/07/2015

Medical Identifiers

Medical identifiers for Dr Jordan Guy Probasco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174901490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 5631 (Oregon)Primary
111NP0017XChiropractor - Pediatric Chiropractor 5631 (Oregon)Secondary
111NR0400XChiropractor - Rehabilitation 5631 (Oregon)Secondary
111NX0100XChiropractor - Occupational Health 5631 (Oregon)Secondary
111NX0800XChiropractor - Orthopedic 5631 (Oregon)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Guy Probasco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jordan Guy Probasco, DC
1039 Se 78th Ave,
Portland, OR 97215-3006

Ph: (509) 435-7124
Dr Jordan Guy Probasco, DC
12661 Se Powell Blvd, Suite B,
Portland, OR 97236-3400

Ph: (503) 801-8888

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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