Bridgetown Chiropractic and Wellness PC
NPI 1407020290ActiveOrganization· Chiropractor, Sports Physician· Portland, OR
Chiropractor, Sports Physician in Portland, Oregon, registered in NPPES in April 2008. The authorized official on file is Dawn L. Petricevic, Accounts Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407020290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2008 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Sports Physician Primary | 111NS0005X | 273541 | 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) |
|---|
Other Chiropractor, Sports Physician providers in Portland
- 1518396126
- 1669095287
- 1295912202
- 1063674679
- 1881555340
- 1952848764
- 1487786026
- 1689544702
- 1649617655
- 1972633758
- 1609121391
- 1366782344