NPI 1043453145 · live from the CMS NPI Registry
Advantage Chiropractic Clinic LLC
Chiropractor in Portland, OR. National Provider Identifier 1043453145, active.
NPI record
| NPI | 1043453145 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 9811 Se Division St, Portland, OR 97266 |
| Practice phone | 503-761-1631 |
| Mailing address | Po Box 1989, Fairview, OR 97024 |
| Enumerated | April 20, 2009 |
| Last updated | April 26, 2009 |
| Authorized official | Michael Stubbs, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 3911 (OR) |
| Chiropractor primary | 111N00000X | 3821 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.