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Functional Health Pain Management — NPI 1295912202, Portland, OR | NPI Central

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NPI 1295912202

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Functional Health Pain Management

NPI 1295912202 · Sports Physician Chiropractor · Portland, OR

Provider details

NPI number: 1295912202
Entity type: Organization
Primary specialty: Sports Physician ChiropractorChiropractic Providers
Authorized official: Dean Clark, Owner
License: 1856 (OR)

Practice location

6105 Sw Macadam Ave

Portland, OR 97239-3640

Phone: (503) 244-0920

More OR providers

Mailing address

6105 Sw Macadam Ave

Portland, OR 97239-3640

Registry dates

Enumerated: 2008-01-22
Last updated: 2008-01-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.