Kenneth Lee Crandell in Portland - Chiropractor
Kenneth Lee Crandell - NPI 1225066632
Kenneth Lee Crandell is a Chiropractor in Portland, Oregon. Kenneth Lee Crandell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Lee Crandell is 1225066632. The last update date is 2011-11-16.
Kenneth Lee Crandell's current location address is 11657 Ne Glisan, Portland, Oregon. You can contact this provider via phone number 5032525118 and fax number 5032523199. The mailing address for Kenneth Lee Crandell is 11657 Ne Glisan, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Crandell |
|---|---|
| Address | 11657 Ne Glisan, Portland, Oregon |
| Phone Number | 5032525118 |
| Fax Number | 5032523199 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1225066632 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 11657 Ne Glisan |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97220 |
| 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 Kenneth Lee Crandell's unique identification number?
The Kenneth Lee Crandell has been assigned the NPI (National Provider Identifier) Number 1225066632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kenneth Lee Crandell is geographically located?
The Kenneth Lee Crandell is physically situated at the following location: 11657 Ne Glisan, Portland, OR, 97220.
What is Kenneth Lee Crandell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Lee Crandell's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225066632 to Kenneth Lee Crandell?
The Centers for Medicare & Medicaid Services assigned the 1225066632 to Kenneth Lee Crandell on 2006-06-28.
As of what date were the details pertaining to Kenneth Lee Crandell last refreshed?
The information related to the Kenneth Lee Crandell, including its address, specialty, and other relevant details, was last updated on 2011-11-16.