MEDICARE: CHELSEA BOPPRE DC

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	111N00000X	Chiropractor	71-3510	OR

General Provider Information

NPI Number	:	1467457952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA BOPPRE DC

Provider Business Mailing Address
First Line	:	38706 PIONEER BLVD
Second Line	:
City	:	SANDY
State	:	OR
Zip	:	97055-8008
Country	:	US
Telephone Number	:	503-668-1901
Fax Number	:	503-668-1902

Provider Business Practice Location Address
First Line	:	38706 PIONEER BLVD
Second Line	:
City	:	SANDY
State	:	OR
Zip	:	97055-8008
Country	:	US
Telephone Number	:	503-668-1901
Fax Number	:	503-668-1902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	04/24/2017

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Directions to “ CHELSEA BOPPRE DC” Practice Location

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