Dr. Daryn Fanney, D.C.
Chiropractor in Portland, OR. Individual provider (NPI-1).
NPI number1376826164
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1376826164
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daryn Fanney
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2011
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH10331 | FL | Yes |
| 111N00000X | Chiropractor | 6137 | OR |
Practice location
2505 Sw Spring Garden St Ste 100Portland, OR 97219-3966
Phone 503-841-6222
Mailing address
5151 Se Holgate Blvd Apt 312Portland, OR 97206-3887
Phone 407-616-1982
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.
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