Individual provider · Type 1 NPI

Mary Ann Penny Domm, DC

Chiropractor · Portland, OR

NPI number 1710984141 Active

Practice location

8550 SW Apple Way
Portland, OR 97225-1772

Call (503) 477-7222 Map

Fax (503) 894-9699

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X27 2983 (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 1710984141

Mary Ann Penny Domm, DC's National Provider Identifier is 1710984141, issued on Jun 30, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on May 12, 2014.