Individual provider · Type 1 NPI

Stephanie Ann Grootendorst, DC

Chiropractor · Portland, OR

NPI number 1972695799 Active

Practice location

9643 NW Maring Dr
Portland, OR 97229-5275

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2874 (OR)
Chiropractor 111N00000X2884 (WA)
Chiropractor 111N00000X2926 (WI)

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 1972695799

Stephanie Ann Grootendorst, DC's National Provider Identifier is 1972695799, issued on Sep 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.