Individual provider · Type 1 NPI

Justin Wade Dean, DC

Chiropractor · Portland, OR

NPI number 1104229004 Active

Practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Call (503) 235-5484 Map

Fax (503) 235-3956

Mailing address

2224 NE 142nd Ave
Portland, OR 97230-3920

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5589 (OR)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1104229004

Justin Wade Dean, DC's National Provider Identifier is 1104229004, issued on Oct 6, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2014.