Organization
KEREAH CARPENTER DC PC
Active
Other names
Carpenter Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEREAH CARPENTER D.C (PRESIDENT)
(503) 642-3423
Entity
Organization
Contact information
Practice address
14355 SW ALLEN BLVD, STE 100, BEAVERTON, OR 97005-4700
(503) 642-3423
Mailing address
14355 SW ALLEN BLVD, STE 100, BEAVERTON, OR 97005-4700
(503) 642-3423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2818
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050065000
BLUE CROSS BLUE SHIELD
OR
05
—
116900
—
OR
01
—
27 2818
OREGON BOARD OF CHIROPRACTIC EXAMINERS
OR
Enumeration date
05/07/2008
Last updated
08/14/2023
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