Northwest Spine and Sport LLC
Northwest Spine and Sport LLC provides Sports Physician Chiropractor services in McMinnville, Oregon. Licensed in Oregon. Registered with an NPI since 2013.
- Licensed in
- OR
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
850 SW Booth Bend RdMcMinnville, OR 97128-9320
Phone: (503) 472-2111
Fax: (503) 434-5886
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Physician Chiropractor (primary) | Taxonomy 111NS0005X · Licence 4052 (OR) |
|---|
Record details
| NPI number | 1336577311 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trevor Stauber — Owner · (503) 472-2111 |
| NPI enumerated | October 29, 2013 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | 850 Sw Booth Bend Rd, McMinnville, OR 97128-9320 |