Organization
JANSEN CHIROPRACTIC CLINIC PC
Active
Other names
Mt Angel Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J JANSEN DC (OWNER)
(503) 625-2290
Entity
Organization
Contact information
Practice address
22021 SW SHERWOOD BLVD, SHERWOOD, OR 97140-9327
(503) 625-2290
(503) 625-6297
Mailing address
22021 SW SHERWOOD BLVD, PO BOX 550, SHERWOOD, OR 97140-9327
(503) 625-2290
(503) 625-6297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-1755
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291856
—
OR
Enumeration date
04/17/2007
Last updated
08/13/2014
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