Organization
MY FAMILY CHIROPRACTOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L DESJARDINS DC (OWNER/DOCTOR)
(503) 666-2298
Entity
Organization
Contact information
Practice address
655 NW BURNSIDE RD STE 5, GRESHAM, OR 97030-3745
(503) 666-2298
(503) 492-2355
Mailing address
16409 SE DIVISION ST, SUITE 216, PMB 285, PORTLAND, OR 97236-1931
(503) 666-2298
(503) 492-2355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3243
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059020
ASH DOC ID
OR
01
—
1215008834
INDIVIDUAL NPI
—
Enumeration date
04/08/2008
Last updated
01/20/2009
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