Organization Name: | TV HIGHWAY CHIROPRACTIC CLINIC |
NPI Number: | 1164768818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUY N BUI (OWNER/PRESIDENT) |
Mailing Address: | 18055 Sw Tv Hwy Aloha |
State: | OR US |
Postal Code: | 970063953 |
Phone Number: | 5036423018 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2012 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 4091 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |