Wellformed AI

NPI 1427014364 · live from the CMS NPI Registry

Simon John Agger, DC

Chiropractor in Portland, OR. National Provider Identifier 1427014364, active.

NPI record

NPI1427014364 Type 1 · individual
StatusActive
Primary specialtyChiropractor 111N00000X
Practice location2705 E Burnside St Ste 100, Portland, OR 97214
Practice phone503-236-1304
EnumeratedApril 20, 2006
Last updatedMarch 19, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor primary111N00000X27 3048 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.