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Individual

ANITA GAIL BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC CCSP LMT

Contact information

Practice address
11790 SW TIMBERLINE DRIVE, BEAVERTON, OR 97008-6301
(503) 641-9414
Mailing address
11790 SW TIMBERLINE DRIVE, BEAVERTON, OR 97008-6301
(503) 641-9414

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2835
OR
111NS0005X
Sports Physician Chiropractor
3677
IA
225700000X
Massage Therapist
3322
OR

Other

Enumeration date
05/17/2007
Last updated
09/11/2025
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