Healthcare Provider Details

I. General information

NPI: 1740946151
Provider Name (Legal Business Name): SAIGE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 01/15/2023
Certification Date: 01/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33608 E COLUMBIA AVE STE 110
SCAPPOOSE OR
97056-3442
US

IV. Provider business mailing address

33608 E COLUMBIA AVE STE 110
SCAPPOOSE OR
97056-3442
US

V. Phone/Fax

Practice location:
  • Phone: 503-987-4100
  • Fax: 503-987-4107
Mailing address:
  • Phone: 503-987-4100
  • Fax: 503-987-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMIE MARIE ELLIS
Title or Position: OWNER
Credential: DC
Phone: 503-987-4100