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

Dr. Jordan Guy Probasco, DC

Individual provider Chiropractor · NPI 1174901490

Dr. Jordan Guy Probasco, DC is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
Specialties on file
5
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12661 SE Powell Blvd Ste B
Portland, OR 97236-3400
Phone: (503) 801-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5631 (OR)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 5631 (OR)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 5631 (OR)
Occupational Health Chiropractor Taxonomy 111NX0100X · Licence 5631 (OR)
Orthopedic Chiropractor Taxonomy 111NX0800X · Licence 5631 (OR)

Record details

NPI number1174901490
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 7, 2015
Last updated in NPPESMay 7, 2015
Mailing address1039 Se 78th Ave, Portland, OR 97215-3006

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