Mind & Body Wellness Of Beaverton
LBN: Mind & Body Wellness Of Beaverton
Mind & Body Wellness Of Beaverton is an health care organization with primary practice located at 4545 Sw Angel Ave Apt 108 , Beaverton OR 97005-2717. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Agencies / Community/Behavioral Health. Chiropractic Providers / Chiropractor is the primary health care specialty.
Mind & Body Wellness Of Beaverton can be contacted via phone (503) 891-1389, or through Stewart, Christopher Kent via phone (503) 891-1389.
Contact Information
Primary practice address
4545 Sw Angel Ave Apt 108
Beaverton OR 97005-2717
Phone: (503) 891-1389
Fax:
Website:
Authorized official contact:
Name: Stewart, Christopher Kent Doctor of Chiropractic (DC)
Phone: (503) 891-1389
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1588131411 |
|---|---|
| LBN Legal business name | Mind & Body Wellness Of Beaverton |
| DBA Doing business as | |
| Authorized official | Stewart, Christopher Kent Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2018 |
| Last updated | Oct 29th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588131411 | NPPES |
| Oregon | MEDICAID | 500740983 | |
| Oregon | Other | 5857 | |
| Oregon | Other | R4317 |
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