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

Interstate Medical Group LLC

Organization Chiropractor · NPI 1932839776

Interstate Medical Group LLC is a Chiropractor in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17221 SE Division St
Portland, OR 97236-1240
Phone: (503) 760-0778
Fax: (503) 760-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X
Chiropractor Taxonomy 111N00000X
Massage Therapist Taxonomy 225700000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1932839776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Logiudice — Owner · (503) 339-7351
NPI enumeratedJune 14, 2022
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address17221 Se Division St, Portland, OR 97236-1240

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