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

Dr. Jordan Guy Probasco, DC

Individual provider Chiropractor · NPI 1174901490

Dr. Jordan Guy Probasco, DC is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
Specialties on file
5
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12661 SE Powell Blvd Ste B
Portland, OR 97236-3400
Phone: (503) 801-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5631 (OR)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 5631 (OR)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 5631 (OR)
Occupational Health Chiropractor Taxonomy 111NX0100X · Licence 5631 (OR)
Orthopedic Chiropractor Taxonomy 111NX0800X · Licence 5631 (OR)

Record details

NPI number1174901490
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 7, 2015
Last updated in NPPESMay 7, 2015

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