Healthcare Provider Details

I. General information

NPI: 1710651500
Provider Name (Legal Business Name): VALLEY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E MAIN ST
MOLALLA OR
97038-9146
US

IV. Provider business mailing address

PO BOX 684
MOLALLA OR
97038-0684
US

V. Phone/Fax

Practice location:
  • Phone: 503-829-2662
  • Fax:
Mailing address:
  • Phone: 503-829-2662
  • Fax: 503-829-2663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAMELA KRAEMER
Title or Position: OWNER
Credential: DC
Phone: 509-366-7075