OrganizationActive
Portland Optimal Wellness, LLC
NPI 1053836247 · Chiropractor · Lake Oswego, OR
Provider details
- NPI number
- 1053836247
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Aaron Davison, Owner(503) 686-4448
- License
- 4036 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14511 Westlake Dr Ste 148
Lake Oswego, OR 97035-7773
Phone: (503) 941-5351
Street-level locationGet directions
Mailing address
14511 Westlake Dr Ste 148
Lake Oswego, OR 97035-7773
Registry dates
- Enumerated
- 2017-08-08
- Last updated
- 2017-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.