Provider Demographics
NPI:1467017160
Name:KHARE, URVI (DC)
Entity Type:Individual
Prefix:
First Name:URVI
Middle Name:
Last Name:KHARE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SW BOOTH BEND RD
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-9320
Mailing Address - Country:US
Mailing Address - Phone:503-472-2111
Mailing Address - Fax:
Practice Address - Street 1:850 SW BOOTH BEND RD
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-9320
Practice Address - Country:US
Practice Address - Phone:503-472-2111
Practice Address - Fax:503-434-5886
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor