Probasco, Jordan Guy

Probasco, Jordan Guy is an sole proprietor health care provider with primary practice located at 12661 Se Powell Blvd Suite B, Portland OR 97236-3400. He recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Occupational Health, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Probasco, Jordan Guy can be contacted via phone (503) 801-8888.

Contact Information

Primary practice address
12661 Se Powell Blvd Suite B Portland OR 97236-3400
Phone: (503) 801-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5631 Oregon
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 5631 Oregon
Chiropractic Providers / Rehabilitation 111NR0400X 5631 Oregon
Chiropractic Providers / Occupational Health 111NX0100X 5631 Oregon
Chiropractic Providers / Orthopedic 111NX0800X 5631 Oregon

Profile Details

NPI number 1174901490
LBN Legal business name Probasco, Jordan Guy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2015
Last updated May 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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