NPI 1417409061 · live from the CMS NPI Registry
Advanced Accident Care Chiropractic LLC
Chiropractor in Sherwood, OR. National Provider Identifier 1417409061, active.
NPI record
| NPI | 1417409061 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 16771 Sw 12th St. Suite E, Sherwood, OR 97140 |
| Practice phone | 503-822-5242 |
| Enumerated | October 31, 2016 |
| Last updated | March 13, 2019 |
| Authorized official | Dennis Beasley, Owner |
| Other names | Northwest Chiropractic Care Of Sherwood |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 4922 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.