MEDICARE: VERONICA ESAGUI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	273154	OR

General Provider Information

NPI Number	:	1598863888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA ESAGUI

Provider Business Mailing Address
First Line	:	8852 SW ASHFORD ST
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97224-5240
Country	:	US
Telephone Number	:	503-913-6006
Fax Number	:	503-905-6180

Provider Business Practice Location Address
First Line	:	21860 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3256
Country	:	US
Telephone Number	:	503-650-2394
Fax Number	:	503-905-6180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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Directions to “ VERONICA ESAGUI ” Practice Location

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