| NPI | 1043453145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS STUBBS Owner 503-720-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3821) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3911) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-26 |