Doctor Name: | CHANTEL LEE LEDERBRAND |
NPI Number: | 1609161447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 4116 |
Business Practice Address: | 446 E Main St Hillsboro, OR - 971234187 |
Business Phone Number: | 5035309161 |
Business Fax Number: | |
Mailing Address: | 32950 Sw Bridges Rd, HILLSBORO |
State: | OR |
Postal Code: | 971235534 |
Phone Number: | 5035309161 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |