Provider Demographics
NPI:1447966577
Name:ACCIDENT CARE CHIROPRACTIC & MASSAGE OF FOREST GROVE PC
Entity type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC & MASSAGE OF FOREST GROVE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SEDEI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:214-364-0567
Mailing Address - Street 1:3424 PACIFIC AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-2093
Mailing Address - Country:US
Mailing Address - Phone:503-430-5929
Mailing Address - Fax:503-430-5939
Practice Address - Street 1:3424 PACIFIC AVE STE B
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2093
Practice Address - Country:US
Practice Address - Phone:503-430-5929
Practice Address - Fax:503-430-5939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty