Provider Demographics
NPI:1891762548
Name:PIERCE, HUMA QURESHI (DC)
Entity Type:Individual
Prefix:DR
First Name:HUMA
Middle Name:QURESHI
Last Name:PIERCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12820 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2705
Mailing Address - Country:US
Mailing Address - Phone:503-626-5761
Mailing Address - Fax:
Practice Address - Street 1:12820 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2705
Practice Address - Country:US
Practice Address - Phone:503-626-5761
Practice Address - Fax:503-626-5782
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR113832Medicare ID - Type Unspecified