Form & Function Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORM & FUNCTION CHIROPRACTIC PC

Practice address

3 Monroe Pkwy Ste G
Lake Oswego, OR 97035-8874

Phone

(503) 495-3454

NPI assigned

Dec 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeff Devine, DC

Title

Partner/Dr

Phone

(503) 330-3289

Specialties & licenses 1

Addresses

Other names 1

• Form & Function Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Edward Devine, D.C.

  • Chiropractor
  • Lake Oswego, OR
  • NPI 1174667356
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1033072251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MONROE PKWY STE G",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358874",
            "telephone_number": "503-495-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MONROE PKWY STE G",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358874",
            "telephone_number": "503-495-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORM & FUNCTION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PARTNER/DR",
        "authorized_official_telephone_number": "503-330-3289",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Form & Function Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Elise Flanigan, MSW, LCSW
• Cassie Fobert
• Michelle Fogg, PT
• Forest Psychological Clinic
• Tesilya Forester, LMT
• Sara Elizabeth Forrest, MSW
• Riley Foy
• Framework Functional Psychiatry PC
• Elizabeth Franklin
• Katherine E Freedman, LMT

• Chiropractor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.