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General NPI Number Information
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NPI Number | 1477705242
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Entity Type | Organization
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Legal Business Name | WALKER ROAD CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 15220 NW GREENBRIER PARKWAY, SUITE 260
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-439-9494
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Fax | 503-645-4404
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Provider Business Mailing Address
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Address Line | 15220 NW GREENBRIER PARKWAY, SUITE 260
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-439-9494
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Fax | 503-645-4404
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ZANE RONALD GARD JR.
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Credential | D.C.
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Telephone | 503-439-9494
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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 |
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License Number State |
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