Individual
DR. MARK JEFFREY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
226 S MAIN ST, SUITE C, INDEPENDENCE, OR 97351-2070
(503) 838-1951
Mailing address
226 S MAIN ST, STE D, INDEPENDENCE, OR 97351-2069
(503) 838-1951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3816
OR
Other
Enumeration date
04/24/2008
Last updated
05/09/2016
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