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Contact Information

IMPACT CHIROPRACTIC
18206 SE STARK ST
PORTLAND, OR97233-4863
 Phone: 360-521-5576
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for IMPACT CHIROPRACTIC

NPI # 1972364735
LBN Legal business name IMPACT CHIROPRACTIC
Authorized official NAM KIM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2024
Last updated 01/18/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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