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1104332899
LISA JEWELL DC LLC
PORTLAND, OR
NPI
1104332899
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Entity Type
Organization
Authorized Contact
LISA JEWELL
Owner
503-224-5010
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 5655)
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
LISA JEWELL DC LLC
510 SW 3RD AVE STE 210
PORTLAND, OR 97204-2507
Phone number: 503-224-5010
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Mailing Address
LISA JEWELL DC LLC
510 SW 3RD AVE STE 210
PORTLAND, OR 97204-2507
Phone number: 503-224-5010
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