Provider Demographics
NPI:1134297146
Name:CHIROPRACTIC FIRST LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC FIRST LLC
Other - Org Name:CHIROPRACTIC FIRST
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-626-5761
Mailing Address - Street 1:PO BOX 2342
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97075-2342
Mailing Address - Country:US
Mailing Address - Phone:503-626-5761
Mailing Address - Fax:503-626-5782
Practice Address - Street 1:12820 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2705
Practice Address - Country:US
Practice Address - Phone:503-626-5761
Practice Address - Fax:503-626-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273303111N00000X
OR273348111N00000X
OR7329225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR113830Medicare ID - Type UnspecifiedGROUP