Provider Demographics
NPI:1558179713
Name:VALLEY FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VALLEY FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDCER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-747-4494
Mailing Address - Street 1:8496 SW JESSICA ST UNIT 1211
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8630
Mailing Address - Country:US
Mailing Address - Phone:831-747-4494
Mailing Address - Fax:
Practice Address - Street 1:7742 SW NIMBUS AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6400
Practice Address - Country:US
Practice Address - Phone:971-243-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty