| NPI | 1033306261 |
|---|---|
| Doing Business As | SPINAL WELLNESS PORTLAND |
| Entity Type | Organization |
| Authorized Contact | JEFFERY CLARK Owner 207-780-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1139) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-05-05 |