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FOREST GROVE CHIROPRACTIC LLC NPI 1073982286


NPI Information

NPI: 1073982286
Provider Name: FOREST GROVE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 38D2218116

Address:
3201 19TH AVE STE A
FOREST GROVE, OR
ZIP 97116
Phone: (503) 357-4441
Get Directions

FOREST GROVE CHIROPRACTIC LLC is a chiropractor in Forest Grove, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FOREST GROVE CHIROPRACTIC LLC NPI is 1073982286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 19TH AVE STE A
FOREST GROVE, OR
ZIP 97116-911
Phone: (503) 357-4441
Fax: (503) 359-7941

The provider's authorized official is Thomas Pace .
The authorized official title is Owner and has the following contact phone number (503) 357-4441.

The CLIA number assigned to this NPI record is 38D2218116 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3142OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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