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Organization

SHERWOOD FAMILY CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LYNN NIENABER D.C. (CHIROPRACTOR/OWNER)
(503) 906-3585
Entity
Organization

Contact information

Practice address
20508 SW ROY ROGERS RD, C-115, SHERWOOD, OR 97140-9932
(503) 906-3585
Mailing address
20508 SW ROY ROGERS RD, C-115, SHERWOOD, OR 97140-9932
(503) 906-3585

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273476
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184709131
NPI SOLE PROPRIETOR
OR
Enumeration date
04/15/2008
Last updated
04/15/2008
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