THOMAS VANIDESTINE

TIGARD, OR
NPI1811439136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  5773)
Enumeration Date2016-11-17
Last Update Date2023-08-30
Business Address
THOMAS VANIDESTINE D.C.
9975 SW FREWING ST SUITE #210
TIGARD, OR 97223-5091
Phone number: 503-444-1953
Mailing Address
THOMAS VANIDESTINE D.C.
9975 SW FREWING ST SUITE #210
TIGARD, OR 97223-5091
Phone number: 503-444-1953
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