Individual provider · Type 1 NPI

Benjamin James Heredia, DC

Chiropractor · Portland, OR

NPI number 1356790281 Active

Practice location

524 SE 14th Ave
Portland, OR 97214-2428

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X33582 (CA)
Chiropractor Primary 111N00000X5922 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1356790281

Benjamin James Heredia, DC's National Provider Identifier is 1356790281, issued on Jun 10, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2021.