Doctor Name: | MR. GARY JANSEN |
NPI Number: | 1568417970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 27-1755 |
Business Practice Address: | 22021 Sw Sherwood Blvd Sherwood, OR - 971409327 |
Business Phone Number: | 5036252290 |
Business Fax Number: | 5036256297 |
Mailing Address: | Po Box 550, SHERWOOD |
State: | OR |
Postal Code: | 971400550 |
Phone Number: | 5036252290 |
Fax Number: | 5036256297 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 27-1755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |