KEREAH CARPENTER DC PC NPI 1649446998

NPI Information

NPI: 1649446998
Provider Name: KEREAH CARPENTER DC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Doing Business As: CARPENTER CHIROPRACTIC CLINIC
Address: 14355 SW ALLEN BLVD
STE 100
BEAVERTON, OR
ZIP 97005
Phone: (503) 642-3423

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NPI Details

KEREAH CARPENTER DC PC 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. KEREAH CARPENTER DC PC NPI is 1649446998. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carpenter Chiropractic Clinic.

The provider's business location address is:

14355 SW ALLEN BLVD
STE 100
BEAVERTON, OR
ZIP 97005-700
Phone: (503) 642-3423

The provider's authorized official is Kereah Carpenter .
The authorized official title is President and has the following contact phone number (503) 642-3423.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 8/14/2023.

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	111N00000X	Chiropractor		27 2818	OREGON	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	27 2818	OTHER	OREGON	OREGON BOARD OF CHIROPRACTIC EXAMINERS
2	116900	MEDICAID	OREGON
3	050065000	OTHER	OREGON	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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