Kereah Carpenter Dc Pc in Beaverton - Chiropractor
Kereah Carpenter Dc Pc - NPI 1649446998
Kereah Carpenter Dc Pc is a Chiropractor in Beaverton, Oregon. Kereah Carpenter Dc Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kereah Carpenter Dc Pc is 1649446998. The last update date is 2023-08-14.
Kereah Carpenter Dc Pc's current location address is 14355 Sw Allen Blvd, Beaverton, Oregon. You can contact this provider via phone number 5036423423. The mailing address for Kereah Carpenter Dc Pc is 14355 Sw Allen Blvd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kereah Carpenter Dc Pc |
|---|---|
| Address | 14355 Sw Allen Blvd, Beaverton, Oregon |
| Phone Number | 5036423423 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Carpenter Kereah |
| Credentials | D.C |
| Telephone Number | 5036423423 |
NPI Number Detail
| NPI Number | 1649446998 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2023-08-14 |
Provider Mailing Address Detail
| Address | 14355 Sw Allen Blvd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970054700 |
| Phone Number | 5036423423 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 27 2818 |
|
Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27 2818 | OR | OREGON BOARD OF CHIROPRACTIC E | |
| 116900 | OR | -- | |
| 50065000 | OR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Kereah Carpenter Dc Pc's 1649446998?
The Kereah Carpenter Dc Pc's NPI (National Provider Identifier) Number is 1649446998. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kereah Carpenter Dc Pc's physical address?
The Kereah Carpenter Dc Pc is physically located at 14355 Sw Allen Blvd, in the city of Beaverton, OR, with the postal code 970054700.
What is the area of specialization for Kereah Carpenter Dc Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kereah Carpenter Dc Pc is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649446998 to Kereah Carpenter Dc Pc?
The Centers for Medicare & Medicaid Services originally issued the 1649446998 to Kereah Carpenter Dc Pc on 2008-05-07.
When was the information regarding Kereah Carpenter Dc Pc most recently updated?
The details pertaining to the Kereah Carpenter Dc Pc, including its address, specialty, and other relevant information, were last refreshed on 2023-08-14.