Provider Demographics
NPI:1275732018
Name:MCKAYE, ANGELA R (DC, ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:R
Last Name:MCKAYE
Suffix:
Gender:F
Credentials:DC, ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 SW HAMPTON ST STE 150
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8383
Mailing Address - Country:US
Mailing Address - Phone:503-305-7762
Mailing Address - Fax:503-387-5148
Practice Address - Street 1:6950 SW HAMPTON ST STE 150
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8383
Practice Address - Country:US
Practice Address - Phone:503-305-7762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC208396171100000X
OR1851175F00000X
OR71 3743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath