Provider Demographics
NPI:1467012815
Name:PEAK HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:PEAK HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-642-1449
Mailing Address - Street 1:4055 SW 185TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97078-1567
Mailing Address - Country:US
Mailing Address - Phone:503-642-1449
Mailing Address - Fax:503-642-1577
Practice Address - Street 1:4055 SW 185TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97078-1567
Practice Address - Country:US
Practice Address - Phone:503-642-1449
Practice Address - Fax:503-642-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service