IndividualActive
Randy Hewitt, D.C.
NPI 1093804148 · Sports Physician Chiropractor · Portland, OR
Provider details
- NPI number
- 1093804148
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 272343 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
2031 E Burnside St
Portland, OR 97214-1649
Phone: (503) 224-2100
Fax: (503) 224-2129
Approximate (ZIP-level) locationGet directions
Mailing address
2031 E Burnside St
Portland, OR 97214-1649
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.