Organization
DANSAR LTD INC
Active
Other names
Advanced Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L VROOM D.C. (PRESIDENT, CHIROPRACTOR)
(503) 669-9495
Entity
Organization
Contact information
Practice address
837 E POWELL BLVD, GRESHAM, OR 97030-7617
(503) 669-9495
(503) 669-8257
Mailing address
837 E POWELL BLVD, GRESHAM, OR 97030-7617
(503) 669-9495
(503) 669-8257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
27 2936
OR
111N00000X
Chiropractor
Primary
71 3666
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215913637
NPI-DR BRIAN L VROOM
OR
01
—
1316091275
NPI-DR MICHELLE WAGGONER
OR
Enumeration date
02/12/2007
Last updated
08/22/2020
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