Active NPI
Bridgetown Chiropractic and Wellness PC
- Sports Physician Chiropractor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 273541
- Legal business name
- BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
- Practice address
- 7727 NE Glisan St
Portland, OR 97213-6360 - Phone
- (503) 490-5647
- NPI assigned
- Apr 14, 2008
- Last updated
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn L Petricevic
- Title
- Accounts Manager
- Phone
- (503) 490-5647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 273541 | OR | Primary |
Addresses
Primary practice location
7727 NE Glisan St
Portland, OR 97213-6360
Mailing address
7727 NE Glisan St
Portland, OR 97213-6360
Phone (503) 490-5647
Other practice location 1
5828 N Lombard St # B
Portland, OR 97203-4116
Phone (503) 490-5647
Other practice location 2
13327 SE Misty Dr Ste 200
Happy Valley, OR 97086-9309
Phone (503) 490-5647
National Provider Directory
National Provider DirectoryLocations
13327 SE Misty Dr
Ste 200
Happy Valley, OR 97086
Phone (503) 490-5647
5828 N Lombard St
#B
Portland, OR 97203
Phone (503) 490-5647
7727 NE Glisan St
Portland, OR 97213
Phone (503) 490-5647
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Portland, OR
- NPI 1568255925
-
- Chiropractor
- Happy Valley, OR
- NPI 1992579650
-
- Registered Nurse
- Vancouver, WA
- NPI 1184984775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1407020290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7727 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136360",
"telephone_number": "503-490-5647",
"fax_number": "503-254-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7727 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136360",
"telephone_number": "503-490-5647"
}
],
"practiceLocations": [
{
"address_1": "5828 N Lombard St # B",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972034116",
"country_code": "US",
"telephone_number": "503-490-5647",
"fax_number": "503-254-4749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13327 SE Misty Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "970869309",
"country_code": "US",
"telephone_number": "503-490-5647",
"fax_number": "503-254-4749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIDGETOWN CHIROPRACTIC AND WELLNESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "PETRICEVIC",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "503-490-5647"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "273541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Christine Aspy Bridges, MD
- Emma Bridges
- Bridget Fragale LMT
- Bridgeton Chiropractic, LLC
- Bridgetown Acupuncture and Herbal Clinic, LLC
- Bridgetown Hearing Clinic
- Bridgetown Medical Group P.C. (Bridgetown Surgical Clinic)
- Bridgetown Medical Group P.C. (Bridgetown Women'c Care)
- Bridgetown Optometric Associates LLC
- Bridgetown Physical Therapy and Training Studio, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.