Organization · Type 2 NPI

Mountain Life Clinic LLC

Chiropractor · Welches, OR

NPI number 1922759174 Active

Practice location

67195 E Highway 26
Welches, OR 97067-9610

Call (503) 288-4454 Map

Fax (503) 288-1783

Mailing address

118 N Killingsworth St
Portland, OR 97217-2435

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed
Massage Therapist	225700000X	None listed

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.

Another provider at this address

Williams Pharmacy LLCCommunity/Retail Pharmacy Welches, OR NPI 1326484338

NPI record

NPI: 1922759174
Entity type: Organization (Type 2)
Issued: Jan 10, 2022
Last updated: Jun 16, 2025
Status: Active

Other names

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Mountain Life Clinic · doing business as
Jason and Melanie Brown PC · other name
Jason and Melanie Brown PC · other name

Authorized official

Amber Potter
Billing Specialist
(503) 288-4454

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922759174

Mountain Life Clinic LLC's National Provider Identifier is 1922759174, issued on Jan 10, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Welches, OR. The record was last updated on Jun 16, 2025.