National Provider Identifier Database

BACK IN MOTION SPORTS INJURIES CLINIC LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

BACK IN MOTION SPORTS INJURIES CLINIC, LLC
11385 SW SCHOLLS FERRY RD
BEAVERTON, OR97008-7167
Phone: 503-524-9040
Fax: 503-579-4727
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Acupuncturist 171100000X
Naturopath 175F00000X
Sports Physician 111NS0005X

* Indicates primary specialty

NPI Profile & details for BACK IN MOTION SPORTS INJURIES CLINIC, LLC

NPI Number 1194937722
Legal business name
LBN
BACK IN MOTION SPORTS INJURIES CLINIC, LLC
Authorized official THEODORE FORCUM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/04/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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