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Organization

MARY ANN PENNY DOMM

Active
Other names
JNA Chiropractic, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN PENNY DOMM DC (OWNER/PROVIDER)
(503) 477-7222
Entity
Organization

Contact information

Practice address
8550 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 477-7222
(503) 894-9699
Mailing address
8550 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 477-7222
(503) 894-9699

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
27 2983
OR

Other

Enumeration date
08/07/2014
Last updated
02/15/2024
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