Organization
BACK IN MOTION SPORTS INJURIES CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE LAWRENCE FORCUM III DC, DACBSP, CSCS (OWNER)
(503) 524-9040
Entity
Organization
Contact information
Practice address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
(503) 579-4727
Mailing address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
(503) 579-4727
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
—
171100000X
Acupuncturist
—
—
174400000X
Specialist
Primary
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
05/04/2007
Last updated
09/11/2025
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