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

Modern Chiropractic, LLC

Organization Chiropractor · NPI 1972378438

Modern Chiropractic, LLC is a Chiropractor in Lake Oswego, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

16679 Boones Ferry Rd Ste 105
Lake Oswego, OR 97035-4378
Phone: (503) 635-6005
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1972378438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Devasto — Owner · (617) 365-1527
Other names Modern Chiropractic
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035-4378

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