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Organization

BEAVERTON FAMILY CHIROPRACTIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL PAUL MILLER D.C. (PRESIDENT)
(503) 644-8844
Entity
Organization

Contact information

Practice address
5075 SW GRIFFITH DR, SUITE 120, BEAVERTON, OR 97005-2913
(503) 644-8844
(503) 644-8497
Mailing address
5075 SW GRIFFITH DR, SUITE 120, BEAVERTON, OR 97005-2913
(503) 644-8844
(503) 644-8497

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2763
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039664
OR
Enumeration date
02/22/2007
Last updated
10/19/2008
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