Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael D Raeburn, DC, CCSP

Individual provider Chiropractor · NPI 1366644114

Dr. Michael D Raeburn, DC, CCSP is a Chiropractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2064 N Killingsworth St
Portland, OR 97217-4439
Phone: (503) 719-7742
Fax: (503) 719-7571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 273652 (OR)

Record details

NPI number1366644114
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , CCSP
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESAugust 4, 2010

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