Northwest Spine and Sport LLC
NPI 1336577311 · Sports Physician Chiropractor · Mcminnville, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northwest Spine and Sport LLC is a Sports Physician Chiropractor organization in Mcminnville, OR (NPI 1336577311).
Provider details
- NPI number
- 1336577311
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Trevor Stauber, Owner(503) 472-2111
- License
- 4052 (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
12 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
- 2013-10-29
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Frequently asked questions
- What is Northwest Spine and Sport LLC's NPI number?
- Northwest Spine and Sport LLC's National Provider Identifier (NPI) is 1336577311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Spine and Sport LLC?
- Northwest Spine and Sport LLC is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Northwest Spine and Sport LLC located?
- Northwest Spine and Sport LLC's practice location on file with NPPES is 850 Sw Booth Bend Rd, Mcminnville, OR 97128-9320.
- What is Northwest Spine and Sport LLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Spine and Sport LLC is (503) 472-2111.
- Does Northwest Spine and Sport LLC accept Medicare?
- Northwest Spine and Sport LLC 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 Northwest Spine and Sport LLC?
- The authorized official listed on Northwest Spine and Sport LLC's NPPES record is Trevor Stauber, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Spine and Sport LLC's NPI active?
- Yes — Northwest Spine and Sport LLC's NPI (1336577311) is active in the NPPES registry as of the last update on 2020-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.