Individual
DOMINGA GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
270 NE 181ST AVENUE, PORTLAND, OR 97230
(503) 669-1966
(503) 667-6599
Mailing address
270 NE 181ST AVENUE, PORTLAND, OR 97230
(503) 669-1966
(503) 667-6599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272035
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112935
KAISER PERMANENTE
OR
01
—
4803471
COMPLEMENTARY HEALTHCARE
OR
Enumeration date
09/27/2006
Last updated
07/08/2007
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