Individual
DR. MARY ANN PENNY DOMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
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
111N00000X
Chiropractor
Primary
27 2983
OR
Other
Enumeration date
06/30/2005
Last updated
05/12/2014
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