NPI 1730348905 · live from the CMS NPI Registry
Avista Chiropractic LLC
Chiropractor in Portland, OR. National Provider Identifier 1730348905, active.
NPI record
| NPI | 1730348905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1201 Sw 12th Ave, Suite 600, Portland, OR 97205 |
| Practice phone | 503-224-2425 |
| Enumerated | June 3, 2008 |
| Last updated | April 5, 2011 |
| Authorized official | Jan Bender, Owner/Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 273168 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.