DANIEL SUPPNICK

TIGARD, OR
NPI1295042307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  4034)
Enumeration Date2010-09-10
Last Update Date2010-09-10
Business Address
-- DANIEL SUPPNICK D.C.
12405 SW MAIN ST
TIGARD, OR 97223-6109
Phone number: 503-620-4880
Mailing Address
-- DANIEL SUPPNICK D.C.
12405 SW MAIN ST
TIGARD, OR 97223-6109
Phone number: 503-620-4880
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