Healthcare Provider Details

I. General information

NPI: 1891762548
Provider Name (Legal Business Name): HUMA QURESHI PIERCE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 SW CEDAR HILLS BLVD STE 165
BEAVERTON OR
97005-4758
US

IV. Provider business mailing address

3800 SW CEDAR HILLS BLVD STE 165
BEAVERTON OR
97005-4758
US

V. Phone/Fax

Practice location:
  • Phone: 503-626-5761
  • Fax: 503-626-5782
Mailing address:
  • Phone: 503-626-5761
  • Fax: 503-626-5782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number273348
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number27-3348
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: