Kelsall Chiropractic Clinic Pc

LBN: Kelsall Chiropractic Clinic Pc
Kelsall Chiropractic Clinic Pc is an health care organization with primary practice located at 1615 Nw 23Rd Ave Suite 2, Portland OR 97210-2563. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Kelsall Chiropractic Clinic Pc can be contacted via phone (503) 223-8719, or through Burgess, Amy via phone (503) 223-8719.

Contact Information

Primary practice address
1615 Nw 23Rd Ave Suite 2 Portland OR 97210-2563
Phone: (503) 223-8719
Fax: (503) 223-3237
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Amy OFFICE MANAGER
Phone: (503) 223-8719

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2997 Oregon

Profile Details

NPI number 1063674679
LBN Legal business name Kelsall Chiropractic Clinic Pc
DBA Doing business as
Authorized official Burgess, Amy OFFICE MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063674679 NPPES
Other R100924 MEDICARE PROVIDER ID

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