Provider Demographics
NPI:1548401623
Name:HANDS ON CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:HANDS ON CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HACMAC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-656-8098
Mailing Address - Street 1:13033 SE RUSK RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-2107
Mailing Address - Country:US
Mailing Address - Phone:503-656-8098
Mailing Address - Fax:
Practice Address - Street 1:13033 SE RUSK RD
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-2107
Practice Address - Country:US
Practice Address - Phone:503-656-8098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty