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Individual

DR. GEORGE EDWIN HYLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
17500 STRAUSS AVE, SANDY, OR 97055-8060
(503) 668-5822
(503) 668-3662
Mailing address
PO BOX 909, BORING, OR 97009-0909
(503) 668-5822
(503) 668-3662

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1853
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R182399
MEDICARE PTAN
OR
Enumeration date
12/27/2006
Last updated
08/12/2016
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