Individual provider · Type 1 NPI

Mark J. Sepulveda, DC

Chiropractor · Beaverton, OR

NPI number 1811024912 Active

Practice location

1865 NW 169th Pl, Suite #100
Beaverton, OR 97006-7327

Call (503) 614-8300 Map

Fax (503) 614-9081

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2761 (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 1811024912

Mark J. Sepulveda, DC's National Provider Identifier is 1811024912, issued on Feb 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.