Verg Cmt

NPI #1548518061 in Clackamas, Oregon

Provider Information

NPI Number: 1548518061
Entity Type: Organization
Organization Name: Verg Cmt
Primary Specialty: Chiropractor
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 10001 SE SUNNYSIDE RD STE 120
City: Clackamas
State: Oregon
ZIP Code: 97015-9728
Phone: (503) 877-3435

Authorized Official

Name: DR. ANATOLIY P VERGULYANETS, D.C
Title: CHIROPRACTOR
Phone: (503) 877-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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