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BALLAD TOWNE CHIROPRACTIC CLINIC PC NPI 1487669867


NPI Information

NPI: 1487669867
Provider Name: BALLAD TOWNE CHIROPRACTIC CLINIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1905 MTN VIEW LN STE 400
FOREST GROVE, OR
ZIP 97116
Phone: (503) 357-2187
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BALLAD TOWNE CHIROPRACTIC CLINIC PC 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. BALLAD TOWNE CHIROPRACTIC CLINIC PC NPI is 1487669867. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1905 MTN VIEW LN STE 400
FOREST GROVE, OR
ZIP 97116-264
Phone: (503) 357-2187
Fax: (503) 357-2187

The provider's authorized official is Bonnie L Mcdowell .
The authorized official title is Owner and has the following contact phone number (503) 357-2187.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 4/8/2011.


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
1111N00000XChiropractor1900OREGONNo
2111N00000XChiropractor1997OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1033069000OTHEROREGONZAPF BLUE CROSS #
2R105913MEDICARE PIN
3033068002OTHEROREGONMCDOWELL BLUE CROSS #

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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