Healthcare Provider Details

I. General information

NPI: 1629283858
Provider Name (Legal Business Name): CHIROPRACTIC CARE CENTERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25700 SW ARGYLE AVE UNIT C
WILSONVILLE OR
97070-5799
US

IV. Provider business mailing address

11722 SW 128TH AVE
TIGARD OR
97223-7881
US

V. Phone/Fax

Practice location:
  • Phone: 503-550-3850
  • Fax:
Mailing address:
  • Phone: 503-550-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHRISTIAN RUBEN ZYWECK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 503-550-3850