Thomas Vanidestine, D.C.

NPI #1811439136 in Tigard, Oregon

Provider Information

NPI Number: 1811439136
Entity Type: Individual
Name: Thomas Vanidestine, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 17, 2016
Last Updated: Aug 30, 2023

Practice Location

Address: 9975 SW FREWING ST
Address 2: SUITE #210
City: Tigard
State: Oregon
ZIP Code: 97223-5091
Phone: (503) 444-1953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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