Provider Demographics
NPI:1083302335
Name:CHIRO CARE LLC
Entity Type:Organization
Organization Name:CHIRO CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANBABAZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:971-570-7860
Mailing Address - Street 1:11685 SW NICOLI PL
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-2746
Mailing Address - Country:US
Mailing Address - Phone:503-442-4207
Mailing Address - Fax:833-222-8117
Practice Address - Street 1:20001 SW TUALATIN VALLEY HWY STE 102
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97003-2300
Practice Address - Country:US
Practice Address - Phone:971-570-7860
Practice Address - Fax:833-222-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty