Dr. Jordan Guy Probasco
Chiropractor Occupational Health Pediatric Chiropractor Rehabilitation Chiropractor and 1 more
12661 Se Powell Blvd Suite B
Portland
, Oregon 97236-3400
Dr. Jordan Guy Probasco
Chiropractor Occupational Health Pediatric Chiropractor Rehabilitation Chiropractor and 1 more
12661 Se Powell Blvd Suite B
Portland
, Oregon 97236-3400
(509) 435-7124
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About
Features
Specialties
- Chiropractor
- Pediatric Chiropractor
- Rehabilitation Chiropractor
- Occupational Health
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Jordan Guy Probasco
- 1039 Se 78th Ave
- Portland, OR
- Zip : 97215-3006
- Phone : (509) 435-7124
Second Address
- Dr. Jordan Guy Probasco
- 12661 Se Powell Blvd Suite B
- Portland, OR
- Zip : 97236-3400
- Phone : (503) 801-8888
Reviews
FAQs
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Is Dr. Jordan Guy Probasco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5631 | OR |
| N | 111NP0017X | Pediatric Chiropractor | 5631 | OR |
| N | 111NR0400X | Rehabilitation Chiropractor | 5631 | OR |
| N | 111NX0100X | Occupational Health | 5631 | OR |
| N | 111NX0800X | Chiropractor Orthopedic Specialist | 5631 | OR |
National Provider Identifier
| NPI | 1174901490 |
|---|---|
| Provider Name | Dr. Jordan Guy Probasco |
| First Address | Portland, OR 97215-3006 |
| Second Address | Portland, OR 97236-3400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2015 |
| Last Update Date | 07/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.