Provider Demographics
NPI:1740401165
Name:NEIL MCMAHON,R.N.,D.C.,P.C.
Entity Type:Organization
Organization Name:NEIL MCMAHON,R.N.,D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,DC
Authorized Official - Phone:503-656-9877
Mailing Address - Street 1:1170 MOLALLA AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-3770
Mailing Address - Country:US
Mailing Address - Phone:503-656-9877
Mailing Address - Fax:503-657-1225
Practice Address - Street 1:1170 MOLALLA AVE
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-3770
Practice Address - Country:US
Practice Address - Phone:503-656-9877
Practice Address - Fax:503-657-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty