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NORTHWEST CONSERVATIVE CARE LLC NPI 1336447192


NPI Information

NPI: 1336447192
Provider Name: NORTHWEST CONSERVATIVE CARE LLC

Doing Business As: C FOR CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2534 NW VAUGHN ST
PORTLAND, OR
ZIP 97210
Phone: (503) 477-9028
Get Directions

NORTHWEST CONSERVATIVE CARE LLC is a chiropractor in Portland, 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. NORTHWEST CONSERVATIVE CARE LLC NPI is 1336447192. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As C For Chiropractic.

The provider's business location address is:

2534 NW VAUGHN ST
PORTLAND, OR
ZIP 97210-552
Phone: (503) 477-9028

The provider's authorized official is Tom Jettner Walton .
The authorized official title is Owner and has the following contact phone number (503) 750-6562.

The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4080OREGONYes

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: 11/14/2023

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