Provider Demographics
NPI:1558724062
Name:PAREKH, MEHUL (DC)
Entity Type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:
Last Name:PAREKH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 SW BOND AVE APT 503
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4741
Mailing Address - Country:US
Mailing Address - Phone:585-820-5582
Mailing Address - Fax:
Practice Address - Street 1:5820 SW KELLY AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3780
Practice Address - Country:US
Practice Address - Phone:503-206-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5866111NN0400X
NYX012810-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology