Martin Petrovic, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5852 Issued in OR

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 622
Beaverton, OR 97005-3037

Phone

(503) 809-0800

Fax

(971) 229-4998

NPI assigned

Oct 4, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• True North Wellness LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1841704574
  NPD Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1285144170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 622",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053037",
            "telephone_number": "503-809-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 622",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053037",
            "telephone_number": "503-809-0800",
            "fax_number": "971-229-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVIC",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Michelle Peterson, PMHNP-BC
• Leslie Lucinda Peterson, RDH, OMT
• Sharon Rose Peterson, MD
• Caitlyn Petrini
• Kimberly Ann Petros
• Timothy Floyd Pfankuch, N.D.
• PFC Billing
• Chad T Pfefer, M.D.
• Kenzi Pfeiffer
• Annie T Pham, D.M.D.

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.