Organization · NPI-2

Accident Care Chiropractic And Massage

Chiropractor · Gresham, OR

NPI number1285167163
StatusActive
Last updated in NPPESApr 6, 2017

Details

NPI
1285167163
Entity type
Organization (NPI-2)
Legal business name
Accident Care Chiropractic And Massage
Organization subpart
No
Enumeration date
Apr 6, 2017
Last updated
Apr 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4063ORYes

Practice location

790 E Powell Blvd
Gresham, OR 97030-7616

Phone 503-660-8552

Mailing address

790 E Powell Blvd
Gresham, OR 97030-7616

Phone 503-660-8552

Authorized official

Darren Faherty
Owner
5036608552

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