Provider Demographics
NPI:1255880316
Name:RIEF, DAVID STUART (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:STUART
Last Name:RIEF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 N VANCOUVER AVE APT V103
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-2997
Mailing Address - Country:US
Mailing Address - Phone:253-508-1969
Mailing Address - Fax:
Practice Address - Street 1:4253 SE 182ND AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5083
Practice Address - Country:US
Practice Address - Phone:503-661-5090
Practice Address - Fax:530-489-2320
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor