Provider Demographics
NPI:1578641007
Name:RADSPINNER DISCOVER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:RADSPINNER DISCOVER CHIROPRACTIC LLC
Other - Org Name:DISCOVER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:RADSPINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-297-3771
Mailing Address - Street 1:19865 SW IMPERIAL ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-2113
Mailing Address - Country:US
Mailing Address - Phone:503-297-3771
Mailing Address - Fax:503-595-1700
Practice Address - Street 1:9266 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3314
Practice Address - Country:US
Practice Address - Phone:503-297-3771
Practice Address - Fax:503-595-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR33937293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty