Chiropractic Life Center Pc in Portland - Orthopedic
Chiropractic Life Center Pc - NPI 1235302795
Chiropractic Life Center Pc is a Orthopedic in Portland, Oregon. Chiropractic Life Center Pc practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Chiropractic Life Center Pc is 1235302795. The last update date is 2019-08-01.
Chiropractic Life Center Pc's current location address is 12762 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032557746 and fax number 5032550818. The mailing address for Chiropractic Life Center Pc is 12762 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chiropractic Life Center Pc |
|---|---|
| Address | 12762 Se Stark St, Portland, Oregon |
| Phone Number | 5032557746 |
| Fax Number | 5032550818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johansen Ronald Mark |
| Credentials | DC |
| Telephone Number | 5032557746 |
NPI Number Detail
| NPI Number | 1235302795 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
| Address | 12762 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972331539 |
| Phone Number | 5032557746 |
| Fax Number | 5032550818 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
| Licence No | 271737 |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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Post Comment/ Review Below
What is the unique identifier code issued to Chiropractic Life Center Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Chiropractic Life Center Pc has been assigned the NPI (National Provider Identifier) 1235302795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Chiropractic Life Center Pc is physically located?
The Chiropractic Life Center Pc is situated at the following address: 12762 Se Stark St, Portland, OR 972331539.
What is Chiropractic Life Center Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chiropractic Life Center Pc's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 111Nx0800X.
On what date did the Chiropractic Life Center Pc receive the assignment of its 1235302795 from the Centers for Medicare & Medicaid Services?
The Chiropractic Life Center Pc was issued its 1235302795 by the Centers for Medicare & Medicaid Services on 2008-04-04.
As of what date were the details pertaining to Chiropractic Life Center Pc last refreshed?
The information related to the Chiropractic Life Center Pc, including its address, specialty, and other relevant details, was last updated on 2019-08-01.
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