Provider Demographics
NPI:1558816256
Name:INTEGRITY AUTO & WORK INJURY CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:INTEGRITY AUTO & WORK INJURY CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANSOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-352-0735
Mailing Address - Street 1:2155 NW 173RD AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-3563
Mailing Address - Country:US
Mailing Address - Phone:503-352-0735
Mailing Address - Fax:503-352-0734
Practice Address - Street 1:2155 NW 173RD AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-3563
Practice Address - Country:US
Practice Address - Phone:503-352-0735
Practice Address - Fax:503-352-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty