Provider Demographics
NPI:1336704170
Name:JOURNEY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:JOURNEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:971-238-9464
Mailing Address - Street 1:10445 SW CANYON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1938
Mailing Address - Country:US
Mailing Address - Phone:971-238-9464
Mailing Address - Fax:503-549-5637
Practice Address - Street 1:10445 SW CANYON RD STE 101
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1938
Practice Address - Country:US
Practice Address - Phone:971-238-9464
Practice Address - Fax:503-549-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty