Paradise, Athena
Paradise, Athena is an individual health care provider with primary practice located at 1715 E Burnside St , Portland OR 97214-1531. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is her primary health care specialty. Paradise, Athena can be contacted via phone (503) 234-4622.Contact Information
Primary practice address
1715 E Burnside St
Portland OR 97214-1531
Phone: (503) 234-4622
Fax: (503) 788-6399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 272272 | Oregon |
| Chiropractic Providers / Nutrition | 111NN1001X | 272272 | Oregon |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 272272 | Oregon |
Profile Details
| NPI number | 1457568958 |
|---|---|
| LBN Legal business name | Paradise, Athena |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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