Individual provider · Type 1 NPI
Paul Burton Greenbaum, D.C. LAC
Chiropractor · Portland, OR
NPI number
1700298056
Active
Practice location
916 SE 70th Ave
Portland, OR 97215-2130
Fax (503) 254-4647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2932 (OR) |
| Acupuncturist | 171100000X | AC00391 (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 1700298056
Paul Burton Greenbaum, D.C. LAC's National Provider Identifier is 1700298056, issued on May 21, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on May 21, 2014.