Craig, Jerome Gavin
Craig, Jerome Gavin is an sole proprietor health care provider with primary practice located at 118 N Killingsworth St , Portland OR 97217-2435. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Craig, Jerome Gavin can be contacted via phone (503) 288-4454.Contact Information
Primary practice address
118 N Killingsworth St
Portland OR 97217-2435
Phone: (503) 288-4454
Fax: (503) 288-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 11637 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | 3896 | Oregon |
Profile Details
| NPI number | 1952556037 |
|---|---|
| LBN Legal business name | Craig, Jerome Gavin |
| Credentials | DC, LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Jan 22nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Vuky, Peter
8040 Ne Sandy Blvd , Portland OR 97213-7100 -
Holderegger Mccormack, Claudia Miriam
5331 Sw Macadam Ave Ste 105 , Portland OR 97239 -
Murrell, Arthur Roy
200 Ne 20Th Ave Suite 140, Portland OR 97232-3021 -
Miho, Paige Y
9221 Sw Barbur Blvd Ste 104, Portland OR 97219-5441 -
Overvold, Peter Michael
2106 Ne 47Th Ave , Portland OR 97213-2064 -
Pulley, Sonja M
12508 Ne Halsey St , Portland OR 97230-1929 -
Agger, Simon John
2705 E Burnside St Ste 100 , Portland OR 97214-1767 -
Swindler, Timothy Joseph
12728 Se Stark St Bldg G , Portland OR 97233-1539