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Dr. Kenneth Leon Wecker, DC
Chiropractor in Gresham, Oregon
NPI 1023137585

Kenneth Leon Wecker is a Chiropractor based in Gresham, OR. Kenneth Leon Wecker practices in Gresham, OR and has the professional credentials of DC. The NPI Number for Kenneth Leon Wecker is 1023137585 and holds a License No. 713726 (Oregon).

The current practice location address for Kenneth Leon Wecker is 23440 Se Stark St, Gresham, OR and can be reached out via phone at 503-489-6245 and via fax at 503-489-0552.

Location: 23440 Se Stark St, Gresham, OR, 97030-2961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023137585
Provider Name
Kenneth Leon Wecker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
23440 Se Stark St, Gresham, OR, 97030-2961
Phone Number
503-489-6245
Fax Number
503-489-0552
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36-4626648 01 OR TAX ID#
institution
Provider Business Practice Location Address Details
Address
23440 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2961
Phone Number
503-489-6245
Fax Number
503-489-0552
person
Provider Business Mailing Address Details
Address
23440 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2961
Phone Number
503-489-6245
Fax Number
503-489-0552
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
713726 (Oregon)
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.
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