Provider Demographics
NPI:1659329597
Name:HOVEY, TERRY K (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:K
Last Name:HOVEY
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:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:WALDPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97394-0710
Mailing Address - Country:US
Mailing Address - Phone:541-563-5581
Mailing Address - Fax:541-563-2771
Practice Address - Street 1:385 E ALSEA RIVER HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:WALDPORT
Practice Address - State:OR
Practice Address - Zip Code:97394-9510
Practice Address - Country:US
Practice Address - Phone:541-563-5581
Practice Address - Fax:541-563-2771
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR125976Medicaid
ORT41166Medicare UPIN
OR125976Medicaid