=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013529239
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZUI OF CHIROPRACTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2020
-----------------------------------------------------
Last Update Date | 07/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10700 SW BEAVERTON HILLSDALE HWY STE 113
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97005-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-941-5465
-----------------------------------------------------
Fax | 503-765-1925
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10700 SW BEAVERTON HILLSDALE HWY STE 113
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97005-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-941-5465
-----------------------------------------------------
Fax | 503-765-1925
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR/OWNER
-----------------------------------------------------
Name | KEIICHI AOYAMA
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 503-999-0390
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------