Chiropractic Advantage INC
Chiropractor in Keizer, OR. Organization (NPI-2).
NPI number1225882012
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1225882012
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiropractic Advantage INC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
3990 Cherry Ave Ne Ste 102Keizer, OR 97303-4888
Phone 971-332-5919
Mailing address
3990 Cherry Ave Ne Ste 102Keizer, OR 97303-4888
Authorized official
Jason Holt
Provider
9713325919
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