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Physician Compare National (NPI:1780853283)

HEALTHCARE PROVIDER: ZANE R GARD JR. D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1780853283
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426112905
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090128000219
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GARD
Individual professional last name
Provider First Name ZANE
Individual professional first name
Provider Middle Name R
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name WESTERN STATES COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2000
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 15220 NW GREENBRIER PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 260
Group Practice or individual's line 2 address
City BEAVERTON
Group Practice or individual's city
State OR
Group Practice or individual's state
Zip Code 970068111
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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