Individual provider · NPI-1

Dr. Mark Anthony Betsill, D.C

Chiropractor · Gresham, OR

NPI number1003092248
StatusActive
Last updated in NPPESOct 18, 2023

Details

NPI
1003092248
Entity type
Individual (NPI-1)
Name
Dr. Mark Anthony Betsill
Credential
D.C
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 17, 2008
Certification date
Oct 18, 2023
Last updated
Oct 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4022ORYes

Practice location

23479 Se Stark St Ste 101
Gresham, OR 97030-2962

Phone 503-618-0147 · Fax 503-618-0148

Mailing address

23479 Se Stark St Ste 101
Gresham, OR 97030-2962

Phone 503-618-0147 · Fax 503-618-0148

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