Provider Demographics
NPI:1245922558
Name:NUEVA ESPERANZA CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:NUEVA ESPERANZA CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELINO
Authorized Official - Middle Name:
Authorized Official - Last Name:VERA RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-603-3342
Mailing Address - Street 1:12720 SW PACIFIC HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6125
Mailing Address - Country:US
Mailing Address - Phone:503-603-3342
Mailing Address - Fax:
Practice Address - Street 1:12720 SW PACIFIC HWY STE 1
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6125
Practice Address - Country:US
Practice Address - Phone:503-603-3342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty