Functional Health Pain Management
NPI 1295912202ActiveOrganization· Chiropractor, Sports Physician· Portland, OR
Chiropractor, Sports Physician in Portland, Oregon, registered in NPPES in January 2008. The authorized official on file is Dean Allen Clark, D.C., Owner.
Overview
| NPI | 1295912202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2008 |
| Last updated in NPPES | Jan 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Sports Physician Primary | 111NS0005X | 1856 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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