NPI 1619659646 · live from the CMS NPI Registry
Amanda Tipton Stiller DC, LLC
Chiropractor in Portland, OR. National Provider Identifier 1619659646, active.
NPI record
| NPI | 1619659646 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 13500 Sw 72nd Ave Ste 105, Portland, OR 97223 |
| Practice phone | 503-620-1280 |
| Enumerated | August 1, 2023 |
| Last updated | August 4, 2023 |
| Authorized official | Amanda Tipton Stiller, Owner |
| Other names | Crossroads Chiropractic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.