Organization
FORM & FUNCTION CHIROPRACTIC PC
Active
Other names
Form & Function Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DEVINE DC (PARTNER/DR)
(503) 330-3289
Entity
Organization
Contact information
Practice address
3 MONROE PKWY STE G, LAKE OSWEGO, OR 97035-8874
(503) 495-3454
Mailing address
3 MONROE PKWY STE G, LAKE OSWEGO, OR 97035-8874
(503) 495-3454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/18/2025
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