Organization
DAVID M PANZER, D.C.
Active
Other names
Baseline Chiropractic Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M PANZER D.C (OWNER)
(503) 614-8300
Entity
Organization
Contact information
Practice address
1865 NW 169TH PL, SUITE 100, BEAVERTON, OR 97006-7327
(503) 614-8300
(503) 614-9081
Mailing address
1865 NW 169TH PL, SUITE 100, BEAVERTON, OR 97006-7327
(503) 614-8300
(503) 614-9081
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1925
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-23082
BLUE CROSS
OR
01
—
0000QGCRP
MEDICARE
OR
01
—
1093923104
NPI
OR
Enumeration date
09/29/2011
Last updated
12/18/2012
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