Provider Demographics
NPI:1033587142
Name:NW FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:NW FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAMBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-391-9112
Mailing Address - Street 1:1797 LANSING AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-8732
Mailing Address - Country:US
Mailing Address - Phone:503-391-9112
Mailing Address - Fax:
Practice Address - Street 1:1797 LANSING AVE NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-8732
Practice Address - Country:US
Practice Address - Phone:503-391-9112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12176225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty