Provider Demographics
NPI:1902936958
Name:NORTH PLAINS CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:NORTH PLAINS CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:503-647-9944
Mailing Address - Street 1:10355 NW GLENCOE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTH PLAINS
Mailing Address - State:OR
Mailing Address - Zip Code:97133-8244
Mailing Address - Country:US
Mailing Address - Phone:503-647-9944
Mailing Address - Fax:503-447-5011
Practice Address - Street 1:10355 NW GLENCOE RD
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH PLAINS
Practice Address - State:OR
Practice Address - Zip Code:97133-8244
Practice Address - Country:US
Practice Address - Phone:503-647-9944
Practice Address - Fax:503-447-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3450111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty