OrganizationActive
Kelsall Chiropractic Clinic PC
NPI 1063674679 · Sports Physician Chiropractor · Portland, OR
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
Practice location
1615 Nw 23rd Ave
Suite 2
Portland, OR 97210-2563
Phone: (503) 223-8719
Fax: (503) 223-3237
Approximate (ZIP-level) locationGet directions
Mailing address
1615 Nw 23rd Ave
Portland, OR 97210-2563
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 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.