Provider Demographics
NPI:1447600341
Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF TIGARD
Entity Type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF TIGARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-444-1953
Mailing Address - Street 1:9975 SW FREWING ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5091
Mailing Address - Country:US
Mailing Address - Phone:503-444-1953
Mailing Address - Fax:
Practice Address - Street 1:9975 SW FREWING ST
Practice Address - Street 2:SUITE 210
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5091
Practice Address - Country:US
Practice Address - Phone:503-444-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty