Provider Demographics
NPI:1982971529
Name:MEISENHELDER, ADAM ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ARTHUR
Last Name:MEISENHELDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11385 SW SCHOLLS FERRY RD.
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-7168
Mailing Address - Country:US
Mailing Address - Phone:503-524-9040
Mailing Address - Fax:503-579-4727
Practice Address - Street 1:11385 SW SCHOLLS FERRY RD.
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7168
Practice Address - Country:US
Practice Address - Phone:503-524-9040
Practice Address - Fax:503-579-4727
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5065111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician