Healthcare Provider Details

I. General information

NPI: 1265805501
Provider Name (Legal Business Name): HEPPNER CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 COMMERCIAL ST SE SUITE 260
SALEM OR
97302-4172
US

IV. Provider business mailing address

925 COMMERCIAL ST SE SUITE 260
SALEM OR
97302-4172
US

V. Phone/Fax

Practice location:
  • Phone: 503-391-9222
  • Fax: 503-363-8193
Mailing address:
  • Phone: 503-391-9222
  • Fax: 503-363-8193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number15133
License Number StateOR

VIII. Authorized Official

Name: DR. ABBY HEPPNER
Title or Position: OWNER
Credential: DC
Phone: 503-391-9222