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General NPI Number Information
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NPI Number | 1407146012
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Entity Type | Organization
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Legal Business Name | DORSEY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 4001 NE HALSEY ST STE 100
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City | PORTLAND
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State | OR
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Zip | 97232-1849
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Country | US
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Telephone | 503-493-9730
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Fax | 503-493-1642
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Provider Business Mailing Address
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Address Line | 4001 NE HALSEY ST STE 100
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City | PORTLAND
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State | OR
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Zip | 97232-1849
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Country | US
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Telephone | 503-493-9730
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Fax | 503-493-1642
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCUS J DORSEY
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Credential | D.C.
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Telephone | 503-493-9730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4024
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License Number State | OR
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