Healthcare Provider Details

I. General information

NPI: 1235213430
Provider Name (Legal Business Name): BRIAN C TIU D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 SW HALL BLVD
BEAVERTON OR
97005-2053
US

IV. Provider business mailing address

3615 SW HALL BLVD
BEAVERTON OR
97005-2053
US

V. Phone/Fax

Practice location:
  • Phone: 971-268-8488
  • Fax:
Mailing address:
  • Phone: 971-268-8488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556549
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034494
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3192
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6297
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: