Mark Anthony Betsill D.C

NPI 1003092248 - Chiropractor - 111N00000X

NPI Details
NPI 1003092248
Gender Male
Enumeration Date 01/17/2008
Last Updated 09/22/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
790 E POWELL BLVD
GRESHAM OR, 97030-7616, US
Phone (503) 618-0147
Fax (503) 618-0148
Business Location
790 E POWELL BLVD
GRESHAM OR, 97030-7616, US
Phone (503) 618-0147
Fax (503) 618-0148
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number 1287
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According to our database, Dr. Mark Anthony Betsill D.C NPI is 1003092248, taxonomy code is 111N00000X and license number is 1287, license state is located at Idaho. Mark Anthony Betsill D.C physically located at 790 E Powell Blvd, Gresham OR, 97030-7616. NPI Number Mark Anthony Betsill D.C has the Individual type.

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1003092248 NPI number is provided on an as is basis without warranty of any kind. 1003092248 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Anthony Betsill D.C are for informational purposes only.