Provider Demographics
NPI:1801451737
Name:CEPHUS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CEPHUS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:NAPOLEAN
Authorized Official - Last Name:CEPHUS
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:503-430-5919
Mailing Address - Street 1:PO BOX 1604
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-1604
Mailing Address - Country:US
Mailing Address - Phone:503-430-5915
Mailing Address - Fax:503-746-4246
Practice Address - Street 1:19755 SW TV HWY
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97003-2338
Practice Address - Country:US
Practice Address - Phone:503-430-5915
Practice Address - Fax:503-746-4246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service