Provider Demographics
NPI:1871175547
Name:ELEMENT CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ELEMENT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-875-6432
Mailing Address - Street 1:875 SW RIMROCK WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2565
Mailing Address - Country:US
Mailing Address - Phone:541-262-0772
Mailing Address - Fax:
Practice Address - Street 1:875 SW RIMROCK WAY STE 103
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2565
Practice Address - Country:US
Practice Address - Phone:503-875-6432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty