Provider Demographics
NPI:1467457952
Name:BOPPRE, CHELSEA (DC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BOPPRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:38706 PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-8008
Mailing Address - Country:US
Mailing Address - Phone:503-668-1901
Mailing Address - Fax:503-668-1902
Practice Address - Street 1:38706 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-8008
Practice Address - Country:US
Practice Address - Phone:503-668-1901
Practice Address - Fax:503-668-1902
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71-3510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor