Daniel Suppnick, D.C.

NPI #1295042307 in Tigard, Oregon

Provider Information

NPI Number: 1295042307
Entity Type: Individual
Name: Daniel Suppnick, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 10, 2010
Last Updated: Sep 10, 2010

Practice Location

Address: 12405 SW MAIN ST
City: Tigard
State: Oregon
ZIP Code: 97223-6109
Phone: (503) 620-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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