Individual provider · Type 1 NPI

Daniel Suppnick, DC

Chiropractor · Tigard, OR

NPI number 1295042307 Active

Practice location

12405 SW Main St
Tigard, OR 97223-6109

Call (503) 620-4880 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4034 (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 1295042307

Daniel Suppnick, DC's National Provider Identifier is 1295042307, issued on Sep 10, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tigard, OR. The record was last updated on Sep 10, 2010.