Portland Spine Center LLC
NPI 1649682022 · Chiropractor · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Spine Center LLC is a Chiropractor organization in Portland, OR (NPI 1649682022).
Provider details
- NPI number
- 1649682022
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Theodore Lillie, Owner(503) 282-7581
- License
- 5123 (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
- 2014-05-20
- Last updated
- 2014-05-20
Frequently asked questions
- What is Portland Spine Center LLC's NPI number?
- Portland Spine Center LLC's National Provider Identifier (NPI) is 1649682022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Spine Center LLC?
- Portland Spine Center LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Portland Spine Center LLC located?
- Portland Spine Center LLC's practice location on file with NPPES is 2106 Ne 47th Ave, Portland, OR 97213-2064.
- What is Portland Spine Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Portland Spine Center LLC is (503) 282-7581.
- Does Portland Spine Center LLC accept Medicare?
- Portland Spine Center 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 Portland Spine Center LLC?
- The authorized official listed on Portland Spine Center LLC's NPPES record is Theodore Lillie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Spine Center LLC's NPI active?
- Yes — Portland Spine Center LLC's NPI (1649682022) is active in the NPPES registry as of the last update on 2014-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.