Healthcare Provider Details

I. General information

NPI: 1942331160
Provider Name (Legal Business Name): POSITIVE TOUCH CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17471 SHELLEY AVE SUITE B
SANDY OR
97055-8084
US

IV. Provider business mailing address

17471 SHELLEY AVE SUITE B
SANDY OR
97055-8084
US

V. Phone/Fax

Practice location:
  • Phone: 503-668-1901
  • Fax: 503-668-1902
Mailing address:
  • Phone: 503-668-1901
  • Fax: 503-668-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number273510
License Number StateOR

VIII. Authorized Official

Name: DR. CHELSEA FOSTER
Title or Position: PRESIDENT
Credential: DC
Phone: 503-668-1901