NPI 1497029771 · live from the CMS NPI Registry
Annette Stevko
Chiropractor in Portland, OR. National Provider Identifier 1497029771, active.
NPI record
| NPI | 1497029771 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 4111 Ne Tillamook St, Portland, OR 97212 |
| Practice phone | 503-281-3400 |
| Enumerated | March 3, 2012 |
| Last updated | March 3, 2012 |
| Authorized official | Annette Stevko, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 1792 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.