Provider Demographics
NPI:1932349057
Name:CHAMBERS CHIROPRACTIC
Entity Type:Organization
Organization Name:CHAMBERS CHIROPRACTIC
Other - Org Name:BALANCE MBS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-440-1036
Mailing Address - Street 1:1155 W LINDA AVE
Mailing Address - Street 2:STE B
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-9601
Mailing Address - Country:US
Mailing Address - Phone:509-440-1036
Mailing Address - Fax:509-491-3612
Practice Address - Street 1:1155 W LINDA AVE
Practice Address - Street 2:STE B
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-9601
Practice Address - Country:US
Practice Address - Phone:509-440-1036
Practice Address - Fax:509-491-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR148287Medicare PIN
WA8858649Medicare PIN