Organization
PROMUVEO LLC
Active
Organization
PROMUVEO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SIMELE DC, CCSP, ICSC (CHIROPRACTOR/CLINIC DIRECTOR)
(503) 962-0377
Entity
Organization
Contact information
Practice address
18019 SW LOWER BOONES FERRY RD, PORTLAND, OR 97224-7228
(503) 521-7086
(503) 713-5977
Mailing address
18019 SW LOWER BOONES FERRY RD, PORTLAND, OR 97224-7228
(503) 521-7086
(503) 713-5977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/22/2025
Last updated
03/17/2026
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