IndividualActive
Nicholas Peck, DC
NPI 1619797495 · Sports Physician Chiropractor · Tualatin, OR
Provider details
- NPI number
- 1619797495
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 6411 (OR)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Practice location
8365 Sw Warm Springs St
Tualatin, OR 97062-9003
Phone: (503) 855-3375
Fax: (503) 855-3043
Approximate (ZIP-level) locationGet directions
Mailing address
8365 Sw Warm Springs St
Tualatin, OR 97062-9003
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.