NPI
Medipro Direct Slim, Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2013-03-15
- Last updated
- 2022-10-26
Specialties
- 111N00000XChiropractor
- 133N00000XNutritionist
- 171100000XAcupuncturist
- 175F00000XNaturopath
- 175F00000XNaturopath
- 2081P2900XPhysical Medicine & Rehabilitation, Pain Medicine
- 208VP0000X208VP0000X
- 208VP0014XPain Medicine, Interventional Pain Medicine
- 363L00000XNurse Practitioner
- 261QM1300XClinic/Center, Multi-Specialty
Licenses
- License OR
- 1430
Location
- Practice location
- 17933 Nw Evergreen Pkwy, Suite 220
- City
- Beaverton OR
- Postal code
- 97006-7659
- Phone
- (503) 828-9265
Organization contact
- Name
- KELLY KYSER
- Title
- Office Manager
- Phone
- 5038289265
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Beaverton, OR. 4,536 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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