Healthcare Provider Details

I. General information

NPI: 1558296004
Provider Name (Legal Business Name): AMY BANG DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N VILLA RD
NEWBERG OR
97132-1860
US

IV. Provider business mailing address

16101 SW AUDUBON ST UNIT 101
BEAVERTON OR
97003-2933
US

V. Phone/Fax

Practice location:
  • Phone: 503-554-0022
  • Fax: 503-554-0033
Mailing address:
  • Phone: 559-286-9007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6520
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: