Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1033072251 Organization (Entity Type 2)

Form & Function Chiropractic Pc

Chiropractor • Lake Oswego, OR

About Form & Function Chiropractic Pc NPI 1033072251 Summary

Form & Function Chiropractic Pc is a verified healthcare organization specializing in Chiropractor operating in Lake Oswego, OR. Located at 3 MONROE PKWY STE G, this facility provides patient care and medical services under National Provider Identifier (NPI) 1033072251.

Administrative operations and authorized compliance are overseen by Jeff Devine (Partner/Dr).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3 Monroe Pkwy Ste G

Lake Oswego, OR 970358874

Telephone 5034953454

Authorized Official Information

Authorized Contact Name

Jeff Devine , DC

Title / Role

Partner/dr

Official Telephone

5033303289

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Chiropractor

Lake Oswego, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2025

Registered at 3 MONROE PKWY STE G, LAKE OSWEGO, OR 970358874 (Tel: 5034953454)

📍
Updated Business Mailing Address December 04, 2025

Registered at 3 MONROE PKWY STE G, LAKE OSWEGO, OR 970358874 (Tel: 5034953454)

🏛️
Organization / Clinic Name Updated December 04, 2025

Operating as FORM & FUNCTION CHIROPRACTIC PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Chiropractor

🟢
Initial NPI Registration & Enumeration December 04, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Form & Function Chiropractic Pc. Be the first to share your experience with this healthcare facility!
Have you visited Form & Function Chiropractic Pc? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1033072251
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 04, 2025
Last Update: December 18, 2025

Mailing Address

3 Monroe Pkwy Ste G

Lake Oswego, OR 970358874

Phone: 5034953454

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.