Individual
DR. KEENAN GOTTLIEB BORGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5253 NE SANDY BLVD, PORTLAND, OR 97213-2562
(503) 766-4881
(503) 914-0923
Mailing address
1605 NE 51ST AVE, PORTLAND, OR 97213-2703
(503) 440-7470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5107
OR
Other
Enumeration date
01/11/2013
Last updated
02/15/2024
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