Provider Demographics
NPI:1326258492
Name:JOHN L V PLATT, DC PC
Entity Type:Organization
Organization Name:JOHN L V PLATT, DC PC
Other - Org Name:WOODSTOCK CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L V
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-774-1776
Mailing Address - Street 1:8029 SE WOODSTOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-5885
Mailing Address - Country:US
Mailing Address - Phone:503-774-1776
Mailing Address - Fax:503-777-4211
Practice Address - Street 1:8029 SE WOODSTOCK BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-5885
Practice Address - Country:US
Practice Address - Phone:503-774-1776
Practice Address - Fax:503-777-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR272430111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty