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NPI Code Detail

MEDICARE: DR. BRENT APGAR D.C.

MEDICARE:  DR. BRENT  APGAR  D.C.
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
1111N00000XChiropractor713746OR

General Provider Information

NPI Number : 1487844080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT APGAR D.C.
Provider Business Mailing Address
First Line : 3635 SE 157TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97236-2165
Country : US
Telephone Number : 503-577-3491
Fax Number :
Provider Business Practice Location Address
First Line : 3635 SE 157TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97236-2165
Country : US
Telephone Number : 503-577-3491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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Directions to “ DR. BRENT APGAR D.C.” Practice Location

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