Kelsall Chiropractic Clinic PC
NPI 1063674679 · Sports Physician Chiropractor · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelsall Chiropractic Clinic PC is a Sports Physician Chiropractor organization in Portland, OR (NPI 1063674679).
Provider details
- NPI number
- 1063674679
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Amy Burgess, Office Manager(503) 223-8719
- License
- 2997 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2008-06-26
Frequently asked questions
- What is Kelsall Chiropractic Clinic PC's NPI number?
- Kelsall Chiropractic Clinic PC's National Provider Identifier (NPI) is 1063674679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelsall Chiropractic Clinic PC?
- Kelsall Chiropractic Clinic PC is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Kelsall Chiropractic Clinic PC located?
- Kelsall Chiropractic Clinic PC's practice location on file with NPPES is 1615 Nw 23rd Ave, Portland, OR 97210-2563.
- What is Kelsall Chiropractic Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Kelsall Chiropractic Clinic PC is (503) 223-8719.
- Does Kelsall Chiropractic Clinic PC accept Medicare?
- Kelsall Chiropractic Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelsall Chiropractic Clinic PC?
- The authorized official listed on Kelsall Chiropractic Clinic PC's NPPES record is Amy Burgess, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelsall Chiropractic Clinic PC's NPI active?
- Yes — Kelsall Chiropractic Clinic PC's NPI (1063674679) is active in the NPPES registry as of the last update on 2008-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.