PERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC - NPI 1801059753

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Performance And Spine Chiropractic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC (NPI 1801059753) is a healthcare organization registered as a chiropractor in Tualatin, Oregon and active in the NPI registry since July 2008. The organization lists Jonathan Kinney, Member, as its authorized official.

NPPES Registry Identity

NPI1801059753

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC

Location Address19365 SW 65TH AVE, SUITE 104Tualatin, OR 97062-9196

Mailing Address19365 Sw 65th Ave, Suite 104Tualatin, OR 97062-9196

Phone(503) 348-4464

Organization SubpartNo

Authorized OfficialJonathan KinneyMember · (503) 348-4464

Enumeration DateJuly 9, 2008

✔ NPI 1801059753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 3859

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

19365 SW 65TH AVE, Tualatin, OR 97062

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›