Healthcare Provider Details
I. General information
NPI: 1821900028
Provider Name (Legal Business Name): INNER CHILD CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 3RD ST # 201
HOOD RIVER OR
97031-2190
US
IV. Provider business mailing address
1225 MULTNOMAH RD
HOOD RIVER OR
97031-9713
US
V. Phone/Fax
- Phone: 541-436-5111
- Fax: 541-208-0550
- Phone: 541-436-5111
- Fax: 541-208-0550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALLISON
VON FLOTOW
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 541-436-5111