| NPI | 1184248726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DE ALTO Manager/Owner 503-430-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 171100000X Acupuncturist | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-01-11 |