Provider Demographics
NPI:1528435385
Name:SEKULIC, RALEIGH CHRISTINE (DC)
Entity type:Individual
Prefix:MRS
First Name:RALEIGH
Middle Name:CHRISTINE
Last Name:SEKULIC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RALEIGH
Other - Middle Name:BETH
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4412 S BARBUR BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-676-6728
Mailing Address - Fax:503-676-3316
Practice Address - Street 1:4412 S BARBUR BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-676-6728
Practice Address - Fax:503-676-3316
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5670111NN1001X, 111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor