DR. MARY ANN PENNY DOMM D.C. NPI 1710984141

NPI Information

NPI: 1710984141
Provider Name: DR. MARY ANN PENNY DOMM, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
8550 SW APPLE WAY
PORTLAND, OR
ZIP 97225
Phone: (503) 477-7222
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DR. Mary Ann Penny Domm, D.C. is a chiropractor in Portland, OR with 30 years of experience. 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. Mary Ann Penny Domm, D.C. NPI is 1710984141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
Graduation Year:1994

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 enumeration date for this NPI number is 6/30/2005 and was last updated on 5/12/2014.

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		27 2983	OREGON	Yes

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
1	U62575	MEDICARE UPIN	OREGON
2	R0000QGHHK	MEDICARE ID-TYPE UNSPECIFIED	OREGON

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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