MEDICARE: DR. JOHN BRANDEN GARLAND D.C., C.C.S.P.

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
1	111N00000X	Chiropractor	5042	OR

General Provider Information

NPI Number	:	1841596236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BRANDEN GARLAND D.C., C.C.S.P.

Provider Business Mailing Address
First Line	:	434 VILLA RD
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-1855
Country	:	US
Telephone Number	:	503-567-8558
Fax Number	:

Provider Business Practice Location Address
First Line	:	434 VILLA RD
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-1855
Country	:	US
Telephone Number	:	503-567-8558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	07/21/2022

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