Provider Demographics
NPI:1598424384
Name:TEAMWORKS INTERNATIONAL
Entity Type:Organization
Organization Name:TEAMWORKS INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-843-2256
Mailing Address - Street 1:3125 NE HOLLADAY ST # B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2504
Mailing Address - Country:US
Mailing Address - Phone:503-217-4457
Mailing Address - Fax:503-662-6420
Practice Address - Street 1:3125 NE HOLLADAY ST # B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2504
Practice Address - Country:US
Practice Address - Phone:503-217-4457
Practice Address - Fax:503-662-6420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty