IndividualActive
Ajay Iselin
NPI 1265897623 · Sports Physician Chiropractor · Beaverton, OR
Provider details
- NPI number
- 1265897623
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5701 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
4900 Sw Griffith Dr
#110
Beaverton, OR 97005-5607
Phone: (503) 644-2225
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Sw Griffith Dr
Beaverton, OR 97005-5607
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.