Provider Demographics
NPI:1831761279
Name:VAKIL, CHLOE (DC)
Entity type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:
Last Name:VAKIL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15020 SW HARVEYS VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-2595
Mailing Address - Country:US
Mailing Address - Phone:503-314-8635
Mailing Address - Fax:
Practice Address - Street 1:17575 SW TUALATIN VALLEY HWY
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97003-4444
Practice Address - Country:US
Practice Address - Phone:503-642-2845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor