Mountain Life Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOUNTAIN LIFE CLINIC LLC

Doing business as

Mountain Life Clinic

Practice address

67195 E Highway 26
Welches, OR 97067-9610

Phone

(503) 288-4454

Fax

(503) 288-1783

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Amber Potter

Title

Billing Specialist

Phone

(503) 288-4454

Specialties & licenses 2

Addresses

Other names 2

• Mountain Life Clinic Doing business as
• Jason and Melanie Brown PC Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Jason Clement Brown, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1134261241
  Medicare reassignment Care Compare group NPD
• Darion Dunlap

  • Chiropractor
  • Welches, OR
  • NPI 1235955238
  Medicare reassignment Care Compare group NPD
• Melanie Beth Brown, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1861535122
  NPD
• Robin Fritsch, LMT

  • Massage Therapist
  • Welches, OR
  • NPI 1891501789
  NPD
• Joel Janson, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1407353022
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1922759174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172435",
            "telephone_number": "503-288-4454",
            "fax_number": "503-288-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67195 E HIGHWAY 26",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970679610",
            "telephone_number": "503-288-4454",
            "fax_number": "503-288-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LIFE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "503-288-4454"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Life Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jason and Melanie Brown PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jason and Melanie Brown PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hilari Diana Kolstad
• Ericka Elise Lafever, LMT
• Julie Lazar, CHW
• Douglas Raymond Lyon, MD
• Brad Alexander McKenzie
• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group Hoodland)
• Robert H Kelly, DMD PC (McKenzie Dental)
• Ian Z Schroeder, LPC, CADC III
• Janet S. Whitacre, LMT
• Genevieve White

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.