Individual
DR. JOAN M. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8835 SW CANYON LN STE 120, PORTLAND, OR 97225-3451
(971) 348-3710
(971) 348-3711
Mailing address
8835 SW CANYON LN STE 120, PORTLAND, OR 97225-3451
(971) 348-3710
(971) 348-3711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006 0001154
VT
111N00000X
Chiropractor
Primary
3066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068702
BCBSVT
VT
01
—
054008921VT01
ANTHEM
—
01
—
472685
TUFTS HEALTH PLAN
—
01
—
8328214
CIGNA
VT
05
—
UVN3721
—
VT
Enumeration date
08/29/2007
Last updated
04/11/2021
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