Provider Demographics
NPI:1205990652
Name:FEINBERG, RICHARD S (DC MS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 E BURNSIDE ST
Mailing Address - Street 2:STE 213
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214
Mailing Address - Country:US
Mailing Address - Phone:503-234-4288
Mailing Address - Fax:503-234-8613
Practice Address - Street 1:2705 E BURNSIDE ST
Practice Address - Street 2:STE 213
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214
Practice Address - Country:US
Practice Address - Phone:503-234-4288
Practice Address - Fax:503-234-8613
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR65 1637111N00000X
OR1637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000QGCHMMedicare PIN