| My Family Chiropractor, Llc | |
|
655 Nw Burnside Rd Ste 5 Gresham OR 97030-3745 | |
| (503) 666-2298 | |
| (503) 492-2355 |
| Full Name | My Family Chiropractor, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 655 Nw Burnside Rd Ste 5, Gresham, Oregon |
| Authorized Official Name and Position | Daniel L Desjardins (OWNER/DOCTOR) |
| Authorized Official Contact | 5036662298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Family Chiropractor, Llc 16409 Se Division St Suite 216, Pmb 285 Portland OR 97236-1931 Ph: (503) 666-2298 | My Family Chiropractor, Llc 655 Nw Burnside Rd Ste 5 Gresham OR 97030-3745 Ph: (503) 666-2298 |
| NPI Number | 1326211673 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326211673 | NPI | - | NPPES |
| 1059020 | Other | OR | ASH DOC ID |
| 1215008834 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3243 (Oregon) | Primary |
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