Kelsall Chiropractic Clinic PC
NPI 1063674679ActiveOrganization· Chiropractor, Sports Physician· Portland, OR
Chiropractor, Sports Physician in Portland, Oregon, registered in NPPES in June 2008. The authorized official on file is Amy Burgess, OFFICE MANAGER, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063674679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2008 |
| Last updated in NPPES | Jun 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Sports Physician Primary | 111NS0005X | 2997 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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