Chiropractic Life Center

LBN: Chiropractic Life Center Pc
Chiropractic Life Center is an health care organization with primary practice located at 12762 Se Stark St Plaza 125, Bldg D, Portland OR 97233-1539. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Chiropractic Life Center Pc can be contacted via phone (503) 255-7746, or through Johansen, Mark Ronald via phone (503) 255-7746.

Contact Information

Primary practice address
12762 Se Stark St Plaza 125, Bldg D Portland OR 97233-1539
Phone: (503) 255-7746
Fax: (503) 255-0818
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Mark Ronald Doctor of Chiropractic (DC)
Phone: (503) 255-7746

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 271737 Oregon

Profile Details

NPI number 1235302795
LBN Legal business name Chiropractic Life Center Pc
DBA Doing business as Chiropractic Life Center
Authorized official Johansen, Mark Ronald Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
Last updated Aug 1st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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