MARY ANN PENNY DOMM NPI 1396154944

NPI Information

  • NPI: 1396154944
  • Provider Name: MARY ANN PENNY DOMM
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: JNA CHIROPRACTIC, LLC
  • Address: 8550 SW APPLE WAY
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 477-7222

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NPI Details

MARY ANN PENNY DOMM is a health service clinic center in Portland, OR. MARY ANN PENNY DOMM NPI is 1396154944. The provider is registered as an organization entity type.
The provider Is Doing Business As Jna Chiropractic, Llc.

The provider's business location address is:

8550 SW APPLE WAY
PORTLAND, OR
ZIP 97225-772
Phone: (503) 477-7222
Fax: (503) 894-9699

The provider's authorized official is Mary Ann Penny Domm .
The authorized official title is Owner/provider and has the following contact phone number (503) 477-7222.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 2/15/2024.

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
1261QH0100XClinic/CenterHealth Service27 2983OREGONYes

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: 11/21/2025

NPI Synchronization or Removal

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