Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chiropractic Life Center PC

Organization Orthopedic Chiropractor · NPI 1235302795

Chiropractic Life Center PC is an Orthopedic Chiropractor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12762 SE Stark St Plaza 125 Bldg D
Portland, OR 97233-1539
Phone: (503) 255-7746
Fax: (503) 255-0818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Chiropractor (primary) Taxonomy 111NX0800X · Licence 271737 (OR)

Record details

NPI number1235302795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Johansen — Owner · (503) 255-7746
Other names Chiropractic Life Center; Chiropractic Life Center
NPI enumeratedApril 4, 2008
Last updated in NPPESAugust 1, 2019
Mailing address12762 Se Stark St, Plaza 125, Bldg D, Portland, OR 97233-1539

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