OrganizationActive
Blue Heron Clinic PC
NPI 1558529560 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1558529560
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dana Sibilla, Director(503) 280-9759
- License
- 27-2971 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1934 Ne Broadway St
Portland, OR 97232-1502
Phone: (503) 280-9759
Fax: (503) 280-9798
Street-level locationGet directions
Mailing address
1934 Ne Broadway St
Portland, OR 97232-1502
Other names (DBA / former)
- Doing business as
- Blue Heron Chiropractic & Healing Arts Center
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.