NPI 1093984130 · live from the CMS NPI Registry
Advanced Care PC
Chiropractor in Gresham, OR. National Provider Identifier 1093984130, active.
NPI record
| NPI | 1093984130 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 837 E Powell Blvd, Gresham, OR 97030 |
| Practice phone | 503-669-9495 |
| Enumerated | February 22, 2008 |
| Last updated | October 6, 2015 |
| Authorized official | Brian Vroom, Owner |
| Other names | Advanced Care Chiropractic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 27-2936 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.