Provider Demographics
NPI:1235569492
Name:BRIDGE TO HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BRIDGE TO HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:SCHUMACHER
Authorized Official - Last Name:ALTILIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-747-6980
Mailing Address - Street 1:5920 NE RAY CIR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6429
Mailing Address - Country:US
Mailing Address - Phone:503-747-6980
Mailing Address - Fax:503-536-6643
Practice Address - Street 1:5920 NE RAY CIR
Practice Address - Street 2:SUITE 140
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6429
Practice Address - Country:US
Practice Address - Phone:503-747-6980
Practice Address - Fax:503-536-6643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3926261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center