Dr. Dana William Sibilla, DC
Chiropractor, Orthopedic in Portland, OR. Individual provider (NPI-1).
NPI number1710036744
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710036744
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dana William Sibilla
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0800X | Chiropractor, Orthopedic | 27-2971 | OR | Yes |
Practice location
1934 Ne Broadway StPortland, OR 97232-1502
Phone 503-280-9759 · Fax 503-280-9798
Mailing address
1934 Ne Broadway StPortland, OR 97232-1502
Phone 503-280-9759 · Fax 503-280-9798
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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