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General NPI Number Information
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NPI Number | 1235569492
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Entity Type | Organization
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Legal Business Name | BRIDGE TO HEALTH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 5920 NE RAY CIR SUITE 140
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City | HILLSBORO
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State | OR
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Zip | 97124-6429
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Country | US
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Telephone | 503-747-6980
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Fax | 503-536-6643
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Provider Business Mailing Address
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Address Line | 5920 NE RAY CIR SUITE 140
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City | HILLSBORO
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State | OR
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Zip | 97124-6429
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Country | US
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Telephone | 503-747-6980
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Fax | 503-536-6643
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIFFANY SCHUMACHER ALTILIO
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Credential | D.C.
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Telephone | 503-747-6980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3926
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License Number State | OR
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