Provider Demographics
NPI:1912255308
Name:HEPPNER CHIROPRACTIC
Entity Type:Organization
Organization Name:HEPPNER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-391-9222
Mailing Address - Street 1:925 COMMERCIAL ST SE STE 260
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4288
Mailing Address - Country:US
Mailing Address - Phone:503-391-9222
Mailing Address - Fax:503-363-8193
Practice Address - Street 1:925 COMMERCIAL ST SE STE 260
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4288
Practice Address - Country:US
Practice Address - Phone:503-391-9222
Practice Address - Fax:503-363-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4850225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty