Provider Demographics
NPI:1982620308
Name:CENTERED IN MOTION, LLC
Entity Type:Organization
Organization Name:CENTERED IN MOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDEREGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-517-0916
Mailing Address - Street 1:9220 SW BARBUR BLVD
Mailing Address - Street 2:SUITE 119-347
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5428
Mailing Address - Country:US
Mailing Address - Phone:503-517-0916
Mailing Address - Fax:503-517-0534
Practice Address - Street 1:9220 SW BARBUR BLVD
Practice Address - Street 2:SUITE 105-A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5428
Practice Address - Country:US
Practice Address - Phone:503-517-0916
Practice Address - Fax:503-517-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty