Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Ann Penny Domm, DC

Individual provider Chiropractor · NPI 1710984141

Dr. Mary Ann Penny Domm, DC is a Chiropractic in Portland, Oregon. Graduated from Cleveland Chiropractic College - Los Angeles in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Trained at
Cleveland Chiropractic College - Los Angeles
Licensed in
OR
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8550 SW Apple Way
Portland, OR 97225-1772
Phone: (503) 477-7222
Fax: (503) 894-9699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 27 2983 (OR)

Record details

NPI number1710984141
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedJune 30, 2005
Last updated in NPPESMay 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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