MY FAMILY CHIROPRACTOR LLC NPI 1326211673

NPI Information

  • NPI: 1326211673
  • Provider Name: MY FAMILY CHIROPRACTOR, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 655 NW BURNSIDE RD STE 5
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 666-2298

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NPI Details

MY FAMILY CHIROPRACTOR, LLC is a clinic center in Gresham, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MY FAMILY CHIROPRACTOR, LLC NPI is 1326211673. The provider is registered as an organization entity type.

The provider's business location address is:

655 NW BURNSIDE RD STE 5
GRESHAM, OR
ZIP 97030-745
Phone: (503) 666-2298
Fax: (503) 492-2355

The provider's authorized official is Daniel L Desjardins .
The authorized official title is Owner/doctor and has the following contact phone number (503) 666-2298.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 1/20/2009.

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
1261Q00000XClinic/Center3243OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11059020OTHEROREGONASH DOC ID
21215008834OTHERINDIVIDUAL NPI
3111278MEDICARE PINOREGON

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: 3/30/2025

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