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DAVID M PANZER D.C. NPI 1639453376


NPI Information

NPI: 1639453376
Provider Name: DAVID M PANZER, D.C.

Doing Business As: BASELINE CHIROPRACTIC CLINIC, LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1865 NW 169TH PL
SUITE 100
BEAVERTON, OR
ZIP 97006
Phone: (503) 614-8300
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DAVID M PANZER, D.C. is a clinic center in Beaverton, 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). DAVID M PANZER, D.C. NPI is 1639453376. The provider is registered as an organization entity type.
The provider Is Doing Business As Baseline Chiropractic Clinic, Llc.

The provider's business location address is:

1865 NW 169TH PL
SUITE 100
BEAVERTON, OR
ZIP 97006-327
Phone: (503) 614-8300
Fax: (503) 614-9081

The provider's authorized official is David M Panzer .
The authorized official title is Owner and has the following contact phone number (503) 614-8300.

The enumeration date for this NPI number is 9/29/2011 and was last updated on 12/18/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center1925OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000QGCRPOTHEROREGONMEDICARE
21093923104OTHEROREGONNPI
30-23082OTHEROREGONBLUE CROSS

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: 4/28/2024

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