Provider Demographics
NPI:1295742708
Name:ZAPF, PHILIP M (DC)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:M
Last Name:ZAPF
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 1:1905 MOUNTAIN VIEW LN STE 400
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-2264
Mailing Address - Country:US
Mailing Address - Phone:503-357-2187
Mailing Address - Fax:503-357-2187
Practice Address - Street 1:1905 MOUNTAIN VIEW LN STE 400
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2264
Practice Address - Country:US
Practice Address - Phone:503-357-2187
Practice Address - Fax:503-357-2187
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR033069000OtherBLUE CROSS
OR033069000OtherBLUE CROSS