Individual
DR. KENNETH NESTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15735 NE FARGO CT, PORTLAND, OR 97230-4442
(503) 683-3620
Mailing address
15735 NE FARGO CT, PORTLAND, OR 97230-4442
(503) 683-3620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5152
OR
111N00000X
Chiropractor
X005233-1
NY
Other
Enumeration date
05/13/2014
Last updated
12/07/2015
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