NPI 1043792856 · live from the CMS NPI Registry
Jennie-Marie Evanka Archambault, DC
Chiropractor in Lake Oswego, OR. National Provider Identifier 1043792856, active.
NPI record
| NPI | 1043792856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3990 Collins Way, Lake Oswego, OR 97035 |
| Practice phone | 503-635-1236 |
| Enumerated | August 29, 2018 |
| Last updated | September 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 5923 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.