NPI | 1093975104 |
---|---|
Entity Type | Organization |
Authorized Contact | TARAH B LEHMAN Owner 503-255-2155 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 25874) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 11719) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |