OrganizationActive
Bridgetown Chiropractic and Wellness PC
NPI 1407020290 · Sports Physician Chiropractor · Portland, OR
Provider details
- NPI number
- 1407020290
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Dawn Petricevic, Accounts Manager(503) 490-5647
- License
- 273541 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
7727 Ne Glisan St
Portland, OR 97213-6360
Phone: (503) 490-5647
Approximate (ZIP-level) locationGet directions
Mailing address
7727 Ne Glisan St
Portland, OR 97213-6360
Additional practice locations (2)
- 13327 Se Misty Dr Ste 200Happy Valley, OR 97086-9309Phone: (503) 490-5647Fax: (503) 254-4749
- 5828 N Lombard St # BPortland, OR 97203-4116Phone: (503) 490-5647Fax: (503) 254-4749
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.