Revive Injury and Wellness, PC
NPI 1952698680ActiveOrganization· Chiropractor· West Linn, OR
Chiropractor in West Linn, Oregon, registered in NPPES in July 2011. The authorized official on file is Erin Danielle Bloom, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952698680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2011 |
| Last updated in NPPES | Jun 2, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3663 | OR |
| Chiropractor | 111N00000X | 4107 | 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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