MEDICARE: DR. GAIL MARIE KARVONEN 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
1	111N00000X	Chiropractor	272224	OR

General Provider Information

NPI Number	:	1881678910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL MARIE KARVONEN D.C.

Provider Business Mailing Address
First Line	:	2303 E BURNSIDE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1655
Country	:	US
Telephone Number	:	503-287-7733
Fax Number	:	503-281-7703

Provider Business Practice Location Address
First Line	:	2303 E BURNSIDE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1655
Country	:	US
Telephone Number	:	503-287-7733
Fax Number	:	503-281-7703

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	02/28/2008

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