Individual
DR. COREY DANIEL BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7180 SW FIR LOOP STE 250, TIGARD, OR 97223-8077
(503) 597-8098
Mailing address
40175 SW LAURELWOOD RD, GASTON, OR 97119-8532
(503) 473-2619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6029
OR
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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