Organization
ELITE HEALTH CARE DBA ELITE CHIROPRACTIC AND WELLNESS CENTER
Active
Parent organization
DR. KENNETH WECKER ELITE HEALTH CARE
Other names
Elite Chiropractic and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. KENNETH WECKER ELITE HEALTH CARE
Authorized official
MRS. HEIDI A WALTER (OFFICE MANAGER)
(503) 489-6245
Entity
Organization
Contact information
Practice address
23440 SE STARK ST, GRESHAM, OR 97030-2961
(503) 489-6245
(503) 489-0552
Mailing address
23440 SE STARK ST, GRESHAM, OR 97030-2961
(503) 489-6245
(503) 489-0552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3726
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023137585
NPI OF PROVIDER
OR
Enumeration date
01/22/2009
Last updated
07/20/2011
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