Organization
BURNETT CHIROPRACTIC AND MASSAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL K BURNETT DC (OWNER/CEO)
(971) 245-5699
Entity
Organization
Contact information
Practice address
12725 SW 66TH AVE STE 205, TIGARD, OR 97223-2548
(503) 360-3050
(971) 371-1129
Mailing address
12725 SW 66TH AVE STE 205, TIGARD, OR 97223-2548
(971) 371-1129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225363419
NPI
OR
Enumeration date
05/01/2019
Last updated
09/12/2019
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