Healthcare Provider Details

I. General information

NPI: 1699690610
Provider Name (Legal Business Name): ACCIDENT CARE CHIROPRACTIC OF KENT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25680 104TH AVE SE
KENT WA
98030-7610
US

IV. Provider business mailing address

2481 OREGON CITY BLVD
WEST LINN OR
97068-3411
US

V. Phone/Fax

Practice location:
  • Phone: 503-789-2098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID H RONG
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC, MS
Phone: 503-789-2098