Provider Demographics
NPI:1790152742
Name:DISCOVER CHIROPRACTIC
Entity Type:Organization
Organization Name:DISCOVER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:RADSPINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-297-3771
Mailing Address - Street 1:9266 SW BEAVERTON HILLSDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3314
Mailing Address - Country:US
Mailing Address - Phone:503-297-3771
Mailing Address - Fax:503-595-1700
Practice Address - Street 1:9266 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3314
Practice Address - Country:US
Practice Address - Phone:503-297-3771
Practice Address - Fax:503-595-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty