Organization · NPI-2

Advanced Care PC

Chiropractor · Gresham, OR

NPI number1093984130
StatusActive
Last updated in NPPESOct 6, 2015

Details

NPI
1093984130
Entity type
Organization (NPI-2)
Legal business name
Advanced Care PC
Organization subpart
No
Enumeration date
Feb 22, 2008
Last updated
Oct 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor27-2936ORYes

Other names

  • Advanced Care Chiropractic (Doing Business As)

Practice location

837 E Powell Blvd
Gresham, OR 97030-7617

Phone 503-669-9495 · Fax 503-669-8257

Mailing address

837 E Powell Blvd
Gresham, OR 97030-7617

Phone 503-669-9495 · Fax 503-669-8257

Authorized official

Brian Vroom
Owner
5033581417

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Gresham, OR