| Portland Sports And Injury Center Llc | |
|
4949 Meadows Rd Ste 140, Lake Oswego, OR 97035-3156 | |
| (503) 305-7244 | |
| (503) 305-8849 |
| Full Name | Portland Sports And Injury Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 4949 Meadows Rd Ste 140, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558586578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 3260 (Oregon) | Primary |
| Provider Name | Jeff M Robinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962419622 PECOS PAC ID: 2769425693 Enrollment ID: I20080911000559 |
| Provider Name | Kelsey M Hudson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649732140 PECOS PAC ID: 7911230065 Enrollment ID: I20190605001716 |
| Provider Name | Neil T Medeiros |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962102392 PECOS PAC ID: 5799131413 Enrollment ID: I20231031003213 |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Sports And Injury Center Llc 4949 Meadows Rd Ste 140, Lake Oswego, OR 97035-3156 Ph: (503) 305-7244 | Portland Sports And Injury Center Llc 4949 Meadows Rd Ste 140, Lake Oswego, OR 97035-3156 Ph: (503) 305-7244 |
Dr. Grant P Morlock, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4847 Meadows Rd 153, Lake Oswego, OR 97035 Phone: 971-330-8578 | |
Glen Zielinski Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 17449 Lower Boones Ferry, Suite 300, Lake Oswego, OR 97035 Phone: 503-850-4526 Fax: 503-908-1555 | |
Dr. Tyler Michael Finn, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16679 Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6005 | |
Form & Function Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Monroe Pkwy Ste G, Lake Oswego, OR 97035 Phone: 503-495-3454 | |
Lake Oswego Chiropractic Clinic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 315 2nd St, Lake Oswego, OR 97034 Phone: 503-635-6246 Fax: 503-635-1450 | |
Dr. Larry Thomas Burks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15800 Upper Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035 Phone: 503-597-8352 | |
Dr. Jennie-marie Evanka Archambault, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3990 Collins Way, Lake Oswego, OR 97035 Phone: 503-635-1236 |