National Provider Identifier Database

IMPACT CHIROPRACTIC
Rehabilitation


Contact Information

IMPACT CHIROPRACTIC
18206 SE STARK ST
PORTLAND, OR97233-4863
Phone: 360-521-5576
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for IMPACT CHIROPRACTIC

NPI Number 1972364735
Legal business name
LBN
IMPACT CHIROPRACTIC
Authorized official NAM KIM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/18/2024
Last updated 01/18/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for IMPACT CHIROPRACTIC

There are currently no reviews for IMPACT CHIROPRACTIC


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