Jansen, Gary
Jansen, Gary is an individual health care provider with primary practice located at 22021 Sw Sherwood Blvd , Sherwood OR 97140-9327. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jansen, Gary can be contacted via phone (503) 625-2290.Contact Information
Primary practice address
22021 Sw Sherwood Blvd
Sherwood OR 97140-9327
Phone: (503) 625-2290
Fax: (503) 625-6297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 27-1755 | Oregon |
Profile Details
| NPI number | 1568417970 |
|---|---|
| LBN Legal business name | Jansen, Gary |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 8th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568417970 | NPPES |
| Oregon | Other | 112050 | KAISER |
| Oregon | MEDICAID | 291856 | KAISER |
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