Jeffrey Edward Devine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-3429 Issued in OR

Practice address

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

Phone

(503) 495-3454

Fax

(503) 495-3454

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Form & Function Chiropractic PC

  • Chiropractor
  • Lake Oswego, OR
  • NPI 1033072251
  Medicare reassignment NPD
• Mja Health Services, Inc.

  • Chiropractor
  • Portland, OR
  • NPI 1548246663
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1174667356",
    "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",
            "fax_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",
            "fax_number": "503-495-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Dennis, MD
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• Derek S. Lipman MD LTD
• Stuti V Desai, MD
• Philip A. Devasto, D.C.
• Kim Northcott Dewey
• Ann Dunlap Dewitt
• Janet Dichter
• Kaileigh Dietrich-Denton, PT
• Ilaali Dinka

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.