Provider Demographics
NPI:1700152022
Name:ACCIDENT CARE SPECIALISTS
Entity Type:Organization
Organization Name:ACCIDENT CARE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-593-1527
Mailing Address - Street 1:4130 SW 117TH AVE
Mailing Address - Street 2:SUIE F
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-5606
Mailing Address - Country:US
Mailing Address - Phone:503-574-2222
Mailing Address - Fax:503-574-2220
Practice Address - Street 1:4130 SW 117TH AVE
Practice Address - Street 2:SUIE F
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-5606
Practice Address - Country:US
Practice Address - Phone:503-574-2222
Practice Address - Fax:503-574-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty