MIND & BODY WELLNESS OF BEAVERTON NPI 1588131411

NPI Information

NPI: 1588131411
Provider Name: MIND & BODY WELLNESS OF BEAVERTON
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4545 SW ANGEL AVE APT 108
BEAVERTON, OR
ZIP 97005
Phone: (503) 891-1389
Get Directions

MIND & BODY WELLNESS OF BEAVERTON is a chiropractor in Beaverton, 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. MIND & BODY WELLNESS OF BEAVERTON NPI is 1588131411. The provider is registered as an organization entity type.

The provider's business location address is:

4545 SW ANGEL AVE APT 108
BEAVERTON, OR
ZIP 97005-717
Phone: (503) 891-1389

The provider's authorized official is Christopher Kent Stewart .
The authorized official title is Chiropractic Physician and has the following contact phone number (503) 891-1389.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 10/29/2018.

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
1	251S00000X	Community/Behavioral Health				No
2	111N00000X	Chiropractor				Yes

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
1	500740983	MEDICAID	OREGON
2	5857	OTHER	OREGON	STATE CHIROPRACTIC LICENSE
3	R4317	OTHER	OREGON	LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »