Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5614 | OR |
NPI | 1003206095 |
---|---|
Provider Name | Dr. Aaron M Guzik |
First Address | Portland, OR 97215-1990 |
Second Address | Portland, OR 97215-1990 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2015 |
Last Update Date | 23/04/2015 |