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NPI Code Detail

MEDICARE: CAPITANO CHIROPRACTIC, PC

MEDICARE: CAPITANO CHIROPRACTIC, PC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1760651830
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITANO CHIROPRACTIC, PC
Provider Business Mailing Address
First Line : 11125 NE SANDY BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97220-2555
Country : US
Telephone Number : 503-257-3377
Fax Number : 503-257-3432
Provider Business Practice Location Address
First Line : 11125 NE SANDY BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97220-2555
Country : US
Telephone Number : 503-257-3377
Fax Number : 503-257-3432
Authorized Official
Title or Position : CHIROPRACTOR
Name : DANIEL W CAPITANO
Credential : DC
Telephone Number : 503-257-3377
Provider Enumeration Date : 02/22/2008
Last Update Date : 01/12/2010

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Directions to “CAPITANO CHIROPRACTIC, PC ” Practice Location

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