Provider Demographics
NPI:1750847638
Name:GETTEL, DELANEY MARIE COSTELLO (DC)
Entity Type:Individual
Prefix:
First Name:DELANEY
Middle Name:MARIE COSTELLO
Last Name:GETTEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4847 MEADOWS RD STE 153
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-2626
Mailing Address - Country:US
Mailing Address - Phone:971-330-8578
Mailing Address - Fax:
Practice Address - Street 1:4847 MEADOWS RD STE 153
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-2626
Practice Address - Country:US
Practice Address - Phone:971-330-8578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor