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NPI Code Detail

MEDICARE: DR. JASMIN MEDEIROS DC

MEDICARE:  DR. JASMIN  MEDEIROS  DC
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
1111N00000XChiropractor5947OR

General Provider Information

NPI Number : 1326516238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASMIN MEDEIROS DC
Provider Business Mailing Address
First Line : 1111 NE 122ND AVE APT 29
Second Line :
City : PORTLAND
State : OR
Zip : 97230-2074
Country : US
Telephone Number : 508-617-0940
Fax Number :
Provider Business Practice Location Address
First Line : 1359 NE 35TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1941
Country : US
Telephone Number : 503-717-6538
Fax Number : 888-847-1238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2018
Last Update Date : 11/08/2018

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Directions to “ DR. JASMIN MEDEIROS DC” Practice Location

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