Provider Demographics
NPI:1780934257
Name:ATTI, AMRITPAL SINGH (DC)
Entity type:Individual
Prefix:
First Name:AMRITPAL
Middle Name:SINGH
Last Name:ATTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:SINGH
Other - Last Name:ATTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:10036 SE DIVISION ST
Mailing Address - Street 2:APT# 302
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1367
Mailing Address - Country:US
Mailing Address - Phone:469-343-8575
Mailing Address - Fax:
Practice Address - Street 1:13150 NE HALSEY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-2350
Practice Address - Country:US
Practice Address - Phone:503-252-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor