Advanced Care Pc

NPI 1093984130 - Chiropractor - 111N00000X

NPI Details
NPI 1093984130
Enumeration Date 02/22/2008
Last Updated 02/25/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN BRIAN
Position OWNER
Phone (503) 669-9495
Fax (503) 669-8257
Practice Location
837 E POWELL BLVD
GRESHAM OR, 97030-7617, US
Phone (503) 669-9495
Fax (503) 669-8257
Business Location
837 E POWELL BLVD
GRESHAM OR, 97030-7617, US
Phone (503) 669-9495
Fax (503) 669-8257
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 27-2936
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According to our database, Advanced Care Pc NPI is 1093984130, taxonomy code is 111N00000X and license number is 27-2936, license state is located at Oregon. Advanced Care Pc physically located at 837 E Powell Blvd, Gresham OR, 97030-7617. NPI Number 1033115704 has the healthcare provider type.

1093984130 NPI number is provided on an as is basis without warranty of any kind. 1093984130 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Care Pc are for informational purposes only.