| NPI | 1063674679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BURGESS Office Manager 503-223-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 2997) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |