Daniel Charlat, DC
Individual provider Active NPI Chiropractor · Happy Valley, OR
NPI 1407518293 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1407518293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6179 (OR)
- Practice address
- 10729 SE 82ND Ave
Happy Valley, OR 97086-7601 - Phone
- (971) 236-4348
- Fax
- (503) 300-2308
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6179 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I.Move. Health and Performance | Single Specialty | Current |
Accepting new patients |
| Milwaukie Chiropractic Center | Chiropractor | Past |
Accepting new patients |
Locations
10729 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 567-4035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 6179 | OR | Yes |
Addresses
Primary practice location
10729 SE 82ND Ave
Happy Valley, OR 97086-7601
Mailing address
10729 SE 82ND Ave
Happy Valley, OR 97086-7601
Phone (971) 236-4348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6179 | Other | OR | CHIROPRACTIC LICENSE NUMBER |
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.