Provider Demographics
NPI:1790983864
Name:MYERS, CYNDI ROZELLA (DC)
Entity Type:Individual
Prefix:
First Name:CYNDI
Middle Name:ROZELLA
Last Name:MYERS
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 1:655 D ST
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-2155
Mailing Address - Country:US
Mailing Address - Phone:360-907-1416
Mailing Address - Fax:
Practice Address - Street 1:9955 SE WASHINGTON ST
Practice Address - Street 2:STE 320 #6
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2439
Practice Address - Country:US
Practice Address - Phone:503-252-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71 3748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor