Provider Demographics
NPI:1578607909
Name:GILBERT, TERESA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:GILBERT
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 1:7831 SE STARK ST
Mailing Address - Street 2:ALIGN CHIROPRACTIC LLC SUITE #207
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-2357
Mailing Address - Country:US
Mailing Address - Phone:503-998-1243
Mailing Address - Fax:
Practice Address - Street 1:15196 SE HOLLAND LOOP
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97015-7450
Practice Address - Country:US
Practice Address - Phone:503-998-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor