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

Dr. Theodore Robert Lillie, DC

Individual provider Chiropractor · NPI 1053650531

Dr. Theodore Robert Lillie, DC is a Chiropractic in Portland, Oregon. Graduated from Northwestern College of Chiropractic in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
15
Trained at
Northwestern College of Chiropractic
Licensed in
MN, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2106 NE 47th Ave
Portland, OR 97213-2064
Phone: (503) 282-7581
Fax: (503) 269-5622
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5123 (OR)
Chiropractor Taxonomy 111N00000X · Licence 5605 (MN)

Record details

NPI number1053650531
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 4, 2013
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland