Individual
MICHELLE K WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
501 NE HOOD AVE, STE 205, GRESHAM, OR 97030
(503) 674-7894
(503) 674-7899
Mailing address
501 NE HOOD AVE, STE 205, GRESHAM, OR 97030
(503) 674-7894
(503) 674-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
71 3666
OR
Other
Enumeration date
01/22/2007
Last updated
02/28/2019
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