Provider Demographics
NPI:1922429414
Name:CHAPMAN, AMY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIE
Last Name:CHAPMAN
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 1:2205 N LOMBARD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5770
Mailing Address - Country:US
Mailing Address - Phone:503-893-4407
Mailing Address - Fax:503-908-6153
Practice Address - Street 1:2205 N LOMBARD ST STE 101
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5770
Practice Address - Country:US
Practice Address - Phone:503-577-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60434432225700000X
OR6098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist