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Individual

DR. MICHAEL JAY VISSERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
130 SW 2ND AVE STE 101, CANBY, OR 97013-4156
(503) 263-3033
(503) 263-3023
Mailing address
2030 N VINE ST, CANBY, OR 97013-2571
(503) 263-8053

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
20436
CA
111N00000X
Chiropractor
Primary
27-3072
OR
111N00000X
Chiropractor
4556
CO

Other

Enumeration date
02/28/2007
Last updated
09/28/2007
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