| NPI | 1154600567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ESTELA MANDUJANO Office Manager 503-617-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3215) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |