Healthcare Provider Details

I. General information

NPI: 1417091620
Provider Name (Legal Business Name): CEDAR CHIROPRACTIC PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 SE HARRISON ST
MILWAUKIE OR
97222-5859
US

IV. Provider business mailing address

4141 SE HARRISON ST
MILWAUKIE OR
97222-5859
US

V. Phone/Fax

Practice location:
  • Phone: 503-653-2232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateOR

VIII. Authorized Official

Name: DR. FRED SEATER
Title or Position: MEMBER
Credential: D.C.
Phone: 503-653-2232