Provider Demographics
NPI:1801627450
Name:CHIRORELIEF, LTD
Entity type:Organization
Organization Name:CHIRORELIEF, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:DCP
Authorized Official - Phone:618-406-1184
Mailing Address - Street 1:14616 NW 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-8017
Mailing Address - Country:US
Mailing Address - Phone:618-406-1184
Mailing Address - Fax:
Practice Address - Street 1:2 S 56TH PL STE 100
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-3426
Practice Address - Country:US
Practice Address - Phone:618-406-1184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty