person
Robert Owen Dietz, DC
Chiropractor in Gresham, Oregon
NPI 1992992077

Robert Owen Dietz is a Chiropractor based in Gresham, OR. Robert Owen Dietz practices in Gresham, OR and has the professional credentials of DC. The NPI Number for Robert Owen Dietz is 1992992077 and holds a License No. 273650 (Oregon).

The current practice location address for Robert Owen Dietz is 1217 Ne Burnside Rd, Gresham, OR and can be reached out via phone at 503-492-3910 and via fax at 503-492-3905.

Location: 1217 Ne Burnside Rd, Gresham, OR, 97030-6722
person
Provider Profile Details
NPI Number
1992992077
Provider Name
Robert Owen Dietz
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1217 Ne Burnside Rd, Gresham, OR, 97030-6722
Phone Number
503-492-3910
Fax Number
503-492-3905
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273650 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1217 Ne Burnside Rd
City
State
Zip
97030-6722
Phone Number
503-492-3910
Fax Number
503-492-3905
person
Provider Business Mailing Address Details
Address
1217 Ne Burnside Rd
City
State
Zip
97030-6722
Phone Number
503-492-3910
Fax Number
503-492-3905
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
273650 (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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