DR. Mary Ann Penny Domm, D.C.

NPI #1710984141 in Portland, Oregon

Provider Information

NPI Number: 1710984141
Entity Type: Individual
Name: DR. Mary Ann Penny Domm, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 30, 2005
Last Updated: May 12, 2014

Practice Location

Address: 8550 SW APPLE WAY
City: Portland
State: Oregon
ZIP Code: 97225-1772
Phone: (503) 477-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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