Provider Demographics
NPI:1871141440
Name:PLYMELL, BRITTANY MARIE (DC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MARIE
Last Name:PLYMELL
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 1:9434 N MACRUM AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-2554
Mailing Address - Country:US
Mailing Address - Phone:503-468-9431
Mailing Address - Fax:
Practice Address - Street 1:1616 SE BYBEE BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5715
Practice Address - Country:US
Practice Address - Phone:503-468-9431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor