1962558320 NPI number — DR. ADAM GARRETT MOHR D.C, DACBSP

Table of content: DR. ADAM GARRETT MOHR D.C, DACBSP (NPI 1962558320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962558320 NPI number — DR. ADAM GARRETT MOHR D.C, DACBSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOHR
Provider First Name:
ADAM
Provider Middle Name:
GARRETT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C, DACBSP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZINN
Provider Other First Name:
ADAM
Provider Other Middle Name:
GARRETT
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C., DACBSP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962558320
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11545 SW DURHAM RD
Provider Second Line Business Mailing Address:
SUITE B-9
Provider Business Mailing Address City Name:
TIGARD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97224-3473
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-639-0778
Provider Business Mailing Address Fax Number:
503-639-0815

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6650 SW REDWOOD LN STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIGARD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97224-7184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-567-3456
Provider Business Practice Location Address Fax Number:
503-726-1152
Provider Enumeration Date:
01/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  3703 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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