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Thomas Vanidestine, DC
Chiropractor in Tigard, Oregon
NPI 1811439136

Thomas Vanidestine is a Chiropractor based in Tigard, OR. Thomas Vanidestine practices in Tigard, OR and has the professional credentials of DC. The NPI Number for Thomas Vanidestine is 1811439136 and holds a License No. 5773 (Oregon).

The current practice location address for Thomas Vanidestine is 9975 Sw Frewing St, Tigard, OR and can be reached out via phone at 503-444-1953 and via fax at 971-244-7246.

Location: 9975 Sw Frewing St, Tigard, OR, 97223-5091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811439136
Provider Name
Thomas Vanidestine
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9975 Sw Frewing St, Tigard, OR, 97223-5091
Phone Number
503-444-1953
Fax Number
971-244-7246
Provider Enumeration Date
11/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9975 Sw Frewing St
City
Tigard
State
Oregon
Zip
97223-5091
Phone Number
503-444-1953
Fax Number
971-244-7246
person
Provider Business Mailing Address Details
Address
9975 Sw Frewing St
City
Tigard
State
Oregon
Zip
97223-5091
Phone Number
503-444-1953
Fax Number
971-244-7246
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5773 (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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