DR. JORDAN PROBASCO, D.C.
Chiropractor
Active
Individual
NPI: 1174901490
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor | 111N00000X | Yes | 5631 (OR) |
| Chiropractor - Pediatric Chiropractor | 111NP0017X | No | 5631 (OR) |
| Chiropractor - Rehabilitation | 111NR0400X | No | 5631 (OR) |
| Chiropractor - Occupational Health | 111NX0100X | No | 5631 (OR) |
| Chiropractor - Orthopedic | 111NX0800X | No | 5631 (OR) |
Frequently Asked Questions
NPI 1174901490 is the National Provider Identifier for DR. JORDAN PROBASCO, D.C., a Chiropractor provider located in Portland, OR. This NPI was enumerated on May 7, 2015.
DR. JORDAN PROBASCO, D.C. practices at 12661 SE POWELL BLVD, SUITE B, Portland, OR 97236.
Quick Facts
- NPI
- 1174901490
- Type
- Individual
- Enumerated
- May 7, 2015
- Last Updated
- May 7, 2015
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