Provider Demographics
NPI:1598919862
Name:ALTERNATIVE HEALTH CARE & CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTH CARE & CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-761-9648
Mailing Address - Street 1:15938 SE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-2059
Mailing Address - Country:US
Mailing Address - Phone:503-761-9648
Mailing Address - Fax:503-761-6876
Practice Address - Street 1:15938 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-2059
Practice Address - Country:US
Practice Address - Phone:503-761-9648
Practice Address - Fax:503-761-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR271642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR270157Medicaid
OR270157Medicaid
ORT68197Medicare UPIN