MEDICARE: CHIROPRACTIC ADVANTAGE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1225882012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC ADVANTAGE INC

Provider Business Mailing Address
First Line	:	3990 CHERRY AVE NE STE 102
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-4888
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3990 CHERRY AVE NE STE 102
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-4888
Country	:	US
Telephone Number	:	971-332-5919
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	JASON HOLT
Credential	:
Telephone Number	:	971-332-5919

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	10/07/2024

Similar Medicare Providers

1588522262 — NATHANIEL LEMKE LMT
Practice Location Address:

3990 CHERRY AVE NE STE 103
KEIZER, OR
97303-4888

Practice Phone: 971-332-5916
Practice Fax:

1821955576 — HANNAH MAMEA
Practice Location Address:

3990 CHERRY AVE NE STE 103
KEIZER, OR
97303-4888

Practice Phone: 503-303-8380
Practice Fax:

1457698409 — MRS. RACHEL-LYN ROGERS LMT
Practice Location Address:

3990 CHERRY AVE NE STE 103
KEIZER, OR
97303-4888

Practice Phone: 503-508-9405
Practice Fax:

1548821085 — STEVEN TIMOTHY ROTH LMT
Practice Location Address:

3990 CHERRY AVE NE
KEIZER, OR
97303-4888

Practice Phone: 503-364-9242
Practice Fax:

1205474038 — KAVIKA ULREY LMT
Practice Location Address:

3990 CHERRY AVE NE STE 103
KEIZER, OR
97303-4888

Practice Phone: 503-364-9242
Practice Fax:

1295589018 — AIRE MEDICAL
Practice Location Address:

3990 CHERRY AVE NE STE 100
KEIZER, OR
97303-4888

Practice Phone: 503-409-1204
Practice Fax:

Directions to “CHIROPRACTIC ADVANTAGE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.