MEDICARE: SUNSTONE CHIROPRACTIC

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	261Q00000X	Clinic/Center	5149	OR

General Provider Information

NPI Number	:	1659731784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSTONE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3133 NE PRESCOTT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-7167
Country	:	US
Telephone Number	:	503-282-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3133 NE PRESCOTT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-7167
Country	:	US
Telephone Number	:	503-282-5666
Fax Number	:	503-432-8668

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. LORI BROWN
Credential	:	DC
Telephone Number	:	503-282-5666

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	03/02/2016

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Directions to “SUNSTONE CHIROPRACTIC ” Practice Location

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