Provider Demographics
NPI:1699833590
Name:MINER, SEAN P (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:P
Last Name:MINER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0001
Mailing Address - Country:US
Mailing Address - Phone:541-241-7886
Mailing Address - Fax:
Practice Address - Street 1:RAFFELSPERGERGASSE 1/5
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VIENNA
Practice Address - Zip Code:11900
Practice Address - Country:AT
Practice Address - Phone:541-241-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27 2878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor