Provider Demographics
NPI:1508037045
Name:DYSON ENTERPRISES INC
Entity Type:Organization
Organization Name:DYSON ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KARVONEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-287-7733
Mailing Address - Street 1:2303 E BURNSIDE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-1655
Mailing Address - Country:US
Mailing Address - Phone:503-287-7733
Mailing Address - Fax:503-281-7703
Practice Address - Street 1:2303 E BURNSIDE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-1655
Practice Address - Country:US
Practice Address - Phone:503-287-7733
Practice Address - Fax:503-281-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OR2224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty