Kenneth Crandell, D.C. in Portland - Chiropractor
Kenneth Crandell, D.C. - NPI 1487827978
Kenneth Crandell, D.C. is a Chiropractor in Portland, Oregon. Kenneth Crandell, D.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Crandell, D.C. is 1487827978. The last update date is 2008-04-07.
Kenneth Crandell, D.C.'s current location address is 11657 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032525118 and fax number 5032523199. The mailing address for Kenneth Crandell, D.C. is 11657 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth Crandell, D.C. |
|---|---|
| Address | 11657 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032525118 |
| Fax Number | 5032523199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Crandell Lee Kenneth |
| Credentials | D.C. |
| Telephone Number | 5032525118 |
NPI Number Detail
| NPI Number | 1487827978 |
|---|---|
| Provider Enumeration Date | 2008-04-07 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 11657 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972202264 |
| Phone Number | 5032525118 |
| Fax Number | 5032523199 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1923 |
|
Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72702 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Crandell, D.C. by the Centers for Medicare & Medicaid Services?
The Kenneth Crandell, D.C. has been issued the NPI (National Provider Identifier) 1487827978, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth Crandell, D.C.'s physical address?
The Kenneth Crandell, D.C. is physically located at 11657 Ne Glisan St, in the city of Portland, OR, with the postal code 972202264.
What is Kenneth Crandell, D.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Crandell, D.C. is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When did the Kenneth Crandell, D.C. receive its 1487827978?
The Kenneth Crandell, D.C. was issued its 1487827978 on 2008-04-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kenneth Crandell, D.C. most recently updated or revised?
The information pertaining to Kenneth Crandell, D.C., including its address, specialty, and other relevant details, was last updated or revised on 2008-04-07.