Individual
DR. BRIAN BLAKE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4370 SE KING RD STE 220, MILWAUKIE, OR 97222-1613
(503) 654-7400
(503) 654-1003
Mailing address
4370 SE KING RD STE 220, MILWAUKIE, OR 97222-1613
(503) 654-7400
(503) 654-1003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
30134
CA
111N00000X
Chiropractor
Primary
3930
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500681336
—
OR
Enumeration date
09/20/2006
Last updated
12/16/2019
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