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NPI Code Detail

MEDICARE: DR. KRISTY PEARL ARNESON D.C.

MEDICARE: DR. KRISTY PEARL ARNESON 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
1111N00000XChiropractor6077OR
2225700000XMassage Therapist24084OR

General Provider Information

NPI Number : 1518587989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTY PEARL ARNESON D.C.
Provider Business Mailing Address
First Line : 3628 SW INNOVATION CT
Second Line :
City : BEAVERTON
State : OR
Zip : 97003-5175
Country : US
Telephone Number : 503-367-5699
Fax Number :
Provider Business Practice Location Address
First Line : 4400 SALEM DALLAS HWY NW
Second Line :
City : SALEM
State : OR
Zip : 97304-3338
Country : US
Telephone Number : 503-208-6425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2020
Last Update Date : 05/20/2024

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