Provider Demographics
NPI:1568296275
Name:MACARTHUR THERIOT LLC
Entity type:Organization
Organization Name:MACARTHUR THERIOT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:F
Authorized Official - Last Name:THERIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-420-9427
Mailing Address - Street 1:336 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-6202
Mailing Address - Country:US
Mailing Address - Phone:360-420-9427
Mailing Address - Fax:
Practice Address - Street 1:10 PIER 1 STE 209
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-6328
Practice Address - Country:US
Practice Address - Phone:503-523-0840
Practice Address - Fax:503-468-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center