Provider Demographics
NPI:1093124729
Name:EVE CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:EVE CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-946-8633
Mailing Address - Street 1:1117 SE 122ND AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-1160
Mailing Address - Country:US
Mailing Address - Phone:503-946-8633
Mailing Address - Fax:503-894-5020
Practice Address - Street 1:1117 SE 122ND AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-1160
Practice Address - Country:US
Practice Address - Phone:503-946-8633
Practice Address - Fax:503-894-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3943111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty