Healthcare Provider Details
I. General information
NPI: 1083302335
Provider Name (Legal Business Name): CHIRO CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2023
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20001 SW TUALATIN VALLEY HWY
BEAVERTON OR
97003-2300
US
IV. Provider business mailing address
20001 SW TUALATIN VALLEY HWY
BEAVERTON OR
97003-2300
US
V. Phone/Fax
- Phone: 971-570-7860
- Fax: 833-222-8117
- Phone: 971-570-7860
- Fax: 833-222-8117
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MAHDI
KHANBABAZADEH
Title or Position: OWNER
Credential: DC
Phone: 971-570-7860