DR. THOMAS VANIDESTINE D.C. NPI 1811439136

NPI Information

NPI: 1811439136
Provider Name: DR. THOMAS VANIDESTINE, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
9975 SW FREWING ST
SUITE #210
TIGARD, OR
ZIP 97223
Phone: (503) 444-1953
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DR. Thomas Vanidestine, D.C. is a chiropractor in Tigard, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Thomas Vanidestine, D.C. NPI is 1811439136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9975 SW FREWING ST
SUITE #210
TIGARD, OR
ZIP 97223-091
Phone: (503) 444-1953
Fax: (971) 244-7246

The enumeration date for this NPI number is 11/17/2016 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		5773	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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