Functional Health Pain Management in Portland - Sports Physician
Functional Health Pain Management - NPI 1295912202
Functional Health Pain Management is a Sports Physician in Portland, Oregon. Functional Health Pain Management practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Functional Health Pain Management is 1295912202. The last update date is 2008-01-22.
Functional Health Pain Management's current location address is 6105 Sw Macadam Ave, Portland, Oregon. You can contact this provider via phone number 5032440920. The mailing address for Functional Health Pain Management is 6105 Sw Macadam Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Health Pain Management |
|---|---|
| Address | 6105 Sw Macadam Ave, Portland, Oregon |
| Phone Number | 5032440920 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Allen Dean |
| Credentials | D.C. |
| Telephone Number | 5032440920 |
NPI Number Detail
| NPI Number | 1295912202 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 6105 Sw Macadam Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393640 |
| Phone Number | 5032440920 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1856 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Functional Health Pain Management?
The Functional Health Pain Management has been issued the NPI (National Provider Identifier) 1295912202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Functional Health Pain Management's facilities are situated?
The facilities of Functional Health Pain Management are physically located at the following address: 6105 Sw Macadam Ave, Portland, OR, 972393640.
What is the Functional Health Pain Management's specialty and taxonomy code?
The Functional Health Pain Management's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
When did Functional Health Pain Management receive its 1295912202 assignment?
The Functional Health Pain Management was assigned its 1295912202 on 2008-01-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Functional Health Pain Management, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Functional Health Pain Management, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-22.