VANDERLOO CHIROPRACTIC LLC NPI 1669862256

NPI Information

VANDERLOO CHIROPRACTIC LLC is a chiropractor in Portland, 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. VANDERLOO CHIROPRACTIC LLC NPI is 1669862256. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Flores Chiropractic.

The provider's business location address is:

2230 W BURNSIDE ST STE D
PORTLAND, OR
ZIP 97210-727
Phone: (971) 255-1922
Fax: (971) 250-2884

The provider's authorized official is Lance Richard Vanderloo .
The authorized official title is Chiropractor / Owner and has the following contact phone number (971) 255-1922.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

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:

Other Identifiers

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

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