Provider Demographics
NPI:1669625075
Name:HOHENSEE, DREW (DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:HOHENSEE
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5585 SW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-3540
Mailing Address - Country:US
Mailing Address - Phone:503-924-6535
Mailing Address - Fax:503-270-5266
Practice Address - Street 1:8196 SW HALL BLVD STE 112
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-4676
Practice Address - Country:US
Practice Address - Phone:503-924-6535
Practice Address - Fax:503-270-5266
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3883111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician