Provider Demographics
NPI:1326213646
Name:ZUREK, ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:ZUREK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20833
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-5900
Mailing Address - Country:US
Mailing Address - Phone:503-888-4597
Mailing Address - Fax:
Practice Address - Street 1:16611 NE RUSSELL STREET
Practice Address - Street 2:#122
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5900
Practice Address - Country:US
Practice Address - Phone:503-888-4597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3823111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation