Provider Demographics
NPI:1255418208
Name:SLEMAN, DAVID ABRAHAM (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ABRAHAM
Last Name:SLEMAN
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 1:15280 NW CENTRAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-7809
Mailing Address - Country:US
Mailing Address - Phone:503-533-2253
Mailing Address - Fax:503-533-2113
Practice Address - Street 1:15280 NW CENTRAL DR STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-7809
Practice Address - Country:US
Practice Address - Phone:503-533-2253
Practice Address - Fax:503-533-2113
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR133994Medicare ID - Type Unspecified