Provider Demographics
NPI:1184850935
Name:ALAMO CHIROPRACTIC
Entity Type:Organization
Organization Name:ALAMO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:971-409-5111
Mailing Address - Street 1:25700 SW ARGYLE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-5799
Mailing Address - Country:US
Mailing Address - Phone:503-582-9805
Mailing Address - Fax:503-582-9795
Practice Address - Street 1:25700 SW ARGYLE AVE STE C
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-5799
Practice Address - Country:US
Practice Address - Phone:503-582-9805
Practice Address - Fax:503-582-9795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty