Provider Demographics
NPI:1629283858
Name:CHIROPRACTIC CARE CENTERS PC
Entity Type:Organization
Organization Name:CHIROPRACTIC CARE CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:RUBEN
Authorized Official - Last Name:ZYWECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-550-3850
Mailing Address - Street 1:11722 SW 128TH AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-7881
Mailing Address - Country:US
Mailing Address - Phone:503-550-3850
Mailing Address - Fax:
Practice Address - Street 1:25700 SW ARGYLE AVE
Practice Address - Street 2:UNIT C
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-5799
Practice Address - Country:US
Practice Address - Phone:503-550-3850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty