Provider Demographics
NPI:1629247945
Name:HOSMER, SETH E (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:E
Last Name:HOSMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 NW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3472
Mailing Address - Country:US
Mailing Address - Phone:503-227-2279
Mailing Address - Fax:888-767-4375
Practice Address - Street 1:1102 NW 10TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3472
Practice Address - Country:US
Practice Address - Phone:503-227-2279
Practice Address - Fax:888-767-4379
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor