Individual provider · NPI-1

Dr. David Michael Bohrer, DC

Chiropractor · Gresham, OR

NPI number1962622365
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1962622365
Entity type
Individual (NPI-1)
Name
Dr. David Michael Bohrer
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2206ORYes

Practice location

23440 Se Stark St
Gresham, OR 97030-2961

Phone 503-661-3930 · Fax 503-661-2055

Mailing address

23440 Se Stark St
Gresham, OR 97030-2961

Phone 503-661-3930 · Fax 503-661-2055

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