Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portland Spine Center LLC

Organization Chiropractor · NPI 1649682022

Portland Spine Center LLC provides Chiropractor services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2106 NE 47th Ave
Portland, OR 97213-2064 Not confirmed with CMS for 12 years — call before visiting
Phone: (503) 282-7581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5123 (OR)

Record details

NPI number1649682022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Lillie — Owner · (503) 282-7581
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing address2106 Ne 47th Ave, Portland, OR 97213-2064

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