Provider Demographics
NPI:1679901102
Name:CURTIS, CARA A (DC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:CURTIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14511 WESTLAKE DR
Mailing Address - Street 2:SUITE 148
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-7783
Mailing Address - Country:US
Mailing Address - Phone:503-620-2353
Mailing Address - Fax:503-620-4077
Practice Address - Street 1:14511 WESTLAKE DR
Practice Address - Street 2:SUITE 148
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7783
Practice Address - Country:US
Practice Address - Phone:503-620-2353
Practice Address - Fax:503-620-4077
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor