Wellformed AI

NPI 1588147490 · live from the CMS NPI Registry

Alissa Fields Chiropractic, LLC

Chiropractor, Pediatric Chiropractor in Portland, OR. National Provider Identifier 1588147490, active.

NPI record

NPI1588147490 Type 2 · organization
StatusActive
Primary specialtyChiropractor, Pediatric Chiropractor 111NP0017X
Practice location8931 Se Foster Rd, Portland, OR 97266
Practice phone503-267-9080
Mailing address6314 Se 91st Ave, Portland, OR 97266
EnumeratedSeptember 7, 2018
Last updatedSeptember 7, 2018
Authorized officialAlissa Fields, Owner/Chiropractor
Other namesFields Family Chiropractic

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor, Pediatric Chiropractor primary111NP0017X5684 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.