Individual provider · Type 1 NPI

Jerome Gavin Craig, DC, LMT

Chiropractor · Portland, OR

NPI number 1952556037 Active

Practice location

118 N Killingsworth St
Portland, OR 97217-2435

Call (503) 288-4454 Map

Fax (503) 288-1783

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000X11637 (OR)
Chiropractor Primary 111N00000X3896 (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 1952556037

Jerome Gavin Craig, DC, LMT's National Provider Identifier is 1952556037, issued on Nov 17, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2009.