Back In Motion Sports Injuries Clinic, Llc in Beaverton - Sports Physician
Back In Motion Sports Injuries Clinic, Llc - NPI 1194937722
Back In Motion Sports Injuries Clinic, Llc is a Sports Physician in Beaverton, Oregon. Back In Motion Sports Injuries Clinic, Llc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Back In Motion Sports Injuries Clinic, Llc is 1194937722. The last update date is 2020-08-22.
Back In Motion Sports Injuries Clinic, Llc's current location address is 11385 Sw Scholls Ferry Rd, Beaverton, Oregon. You can contact this provider via phone number 5035249040 and fax number 5035794727. The mailing address for Back In Motion Sports Injuries Clinic, Llc is 11385 Sw Scholls Ferry Rd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back In Motion Sports Injuries Clinic, Llc |
|---|---|
| Address | 11385 Sw Scholls Ferry Rd, Beaverton, Oregon |
| Phone Number | 5035249040 |
| Fax Number | 5035794727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Forcum Lawrence Theodore |
| Credentials | DC, DACBSP |
| Telephone Number | 5035249040 |
NPI Number Detail
| NPI Number | 1194937722 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11385 Sw Scholls Ferry Rd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970087167 |
| Phone Number | 5035249040 |
| Fax Number | 5035794727 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Back In Motion Sports Injuries Clinic, Llc's unique identification number?
The Back In Motion Sports Injuries Clinic, Llc has been assigned the NPI (National Provider Identifier) Number 1194937722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Back In Motion Sports Injuries Clinic, Llc is physically located?
The Back In Motion Sports Injuries Clinic, Llc is physically situated at the following address: 11385 Sw Scholls Ferry Rd, Beaverton, OR, 970087167.
What is Back In Motion Sports Injuries Clinic, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Back In Motion Sports Injuries Clinic, Llc's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date was the 1194937722 assigned to Back In Motion Sports Injuries Clinic, Llc?
The Back In Motion Sports Injuries Clinic, Llc was issued its 1194937722 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Back In Motion Sports Injuries Clinic, Llc most recently updated?
The details pertaining to the Back In Motion Sports Injuries Clinic, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1477582294
Address: 5480 Wisconsin Ave Ste 204, Chevy Chase, MD