Provider Demographics
NPI:1689966053
Name:NEUMANN, ERIC ALBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALBERT
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 SW KING BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5324
Mailing Address - Country:US
Mailing Address - Phone:503-327-4856
Mailing Address - Fax:
Practice Address - Street 1:4130 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-5606
Practice Address - Country:US
Practice Address - Phone:503-574-2222
Practice Address - Fax:503-574-2220
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor