MOUNTAIN PARK CHIROPRACTIC PC NPI 1467578062

NPI Information

MOUNTAIN PARK CHIROPRACTIC PC 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. MOUNTAIN PARK CHIROPRACTIC PC NPI is 1467578062. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Robert D Bach.

The provider's business location address is:

9045 SW BARBUR BLVD
SUITE 108
PORTLAND, OR
ZIP 97219-021
Phone: (503) 244-2722
Fax: (503) 245-8994

The provider's authorized official is Robert Bach .
The authorized official title is President and has the following contact phone number (503) 244-2722.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/16/2014.

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:

Other Identifiers

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

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