Provider Demographics
NPI:1487786026
Name:ALLEY, SETH CALLAGHAN (DC, CCSP, CKTP)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:CALLAGHAN
Last Name:ALLEY
Suffix:
Gender:M
Credentials:DC, CCSP, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 SW WESTGATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2420
Mailing Address - Country:US
Mailing Address - Phone:503-297-4447
Mailing Address - Fax:503-296-8414
Practice Address - Street 1:5440 SW WESTGATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-2420
Practice Address - Country:US
Practice Address - Phone:503-297-4447
Practice Address - Fax:503-296-8414
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR713668111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor