Provider Type Icon

SHERWOOD BOULEVARD CHIROPRACTIC LLC NPI 1770980021


NPI Information

NPI: 1770980021
Provider Name: SHERWOOD BOULEVARD CHIROPRACTIC, LLC

Doing Business As: ELITE SPINE AND SPORTS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
21887 SW SHERWOOD BLVD STE A
SHERWOOD, OR
ZIP 97140
Phone: (503) 625-0500
Get Directions

SHERWOOD BOULEVARD CHIROPRACTIC, LLC is a chiropractor in Sherwood, OR. The provider is 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. SHERWOOD BOULEVARD CHIROPRACTIC, LLC NPI is 1770980021. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Elite Spine And Sports.

The provider's business location address is:

21887 SW SHERWOOD BLVD STE A
SHERWOOD, OR
ZIP 97140-412
Phone: (503) 625-0500

The provider's authorized official is Brian H Wilkins .
The authorized official title is Owner and has the following contact phone number (503) 625-0500.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 12/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes
2171100000XAcupuncturistNo
3225700000XMassage TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.