Provider Demographics
NPI:1689133316
Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF NE PORTLAND
Entity Type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF NE PORTLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-222-4336
Mailing Address - Street 1:7816 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-6467
Mailing Address - Country:US
Mailing Address - Phone:503-222-4336
Mailing Address - Fax:
Practice Address - Street 1:7816 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-6467
Practice Address - Country:US
Practice Address - Phone:503-222-4336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service