Individual provider · Type 1 NPI

Michelle K. Waggoner, DC

Chiropractor · Gresham, OR

NPI number 1316091275 Active

Practice location

501 NE Hood Ave, Ste 205
Gresham, OR 97030

Fax (503) 674-7899

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X71 3666 (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 1316091275

Michelle K. Waggoner, DC's National Provider Identifier is 1316091275, issued on Jan 22, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gresham, OR. The record was last updated on Feb 28, 2019.