Healthcare Provider Details

I. General information

NPI: 1437016193
Provider Name (Legal Business Name): ELEVATION CHIROPRACTIC AND SPORTS MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 E PORTLAND RD
NEWBERG OR
97132-1364
US

IV. Provider business mailing address

20844 SW SISTER LN
BEAVERTON OR
97003-6010
US

V. Phone/Fax

Practice location:
  • Phone: 503-791-3345
  • Fax:
Mailing address:
  • Phone: 503-791-3345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KARENA LADRINI
Title or Position: OWNER
Credential: DC
Phone: 817-692-1408