Organization
CHIROPRACTIC INJURY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY V TUPIKOV (OWNER)
(971) 373-8257
Entity
Organization
Contact information
Practice address
11679 NE GLISAN ST, PORTLAND, OR 97220-2264
(971) 373-8257
(971) 373-8259
Mailing address
11679 NE GLISAN ST, PORTLAND, OR 97220-2264
(971) 373-8257
(971) 373-8259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500742574
—
OR
Enumeration date
03/25/2019
Last updated
03/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us