Individual provider · Type 1 NPI

Jordan Guy Probasco, DC

Chiropractor · Portland, OR

NPI number 1174901490 Active

Practice location

12661 SE Powell Blvd, Suite B
Portland, OR 97236-3400

Call (503) 801-8888 Map

Mailing address

1039 SE 78th Ave
Portland, OR 97215-3006

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5631 (OR)
Pediatric Chiropractor 111NP0017X5631 (OR)
Rehabilitation Chiropractor 111NR0400X5631 (OR)
Occupational Health Chiropractor 111NX0100X5631 (OR)
Orthopedic Chiropractor 111NX0800X5631 (OR)

Chiropractor: 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.

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About NPI 1174901490

Jordan Guy Probasco, DC's National Provider Identifier is 1174901490, issued on May 7, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on May 7, 2015.