Healthcare Provider Details

I. General information

NPI: 1346153145
Provider Name (Legal Business Name): WELLFLOW MVMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 SE DIVISION ST STE 245
PORTLAND OR
97202-1995
US

IV. Provider business mailing address

1115 SE 89TH AVE
PORTLAND OR
97216-1713
US

V. Phone/Fax

Practice location:
  • Phone: 541-941-6620
  • Fax:
Mailing address:
  • Phone: 541-941-6620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DAVID WHITLOW
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 541-941-6620