| NPI | 1184790073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN M THOMAS LLC Member 503-491-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: OR 27-3110) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: CO 4394) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2009-01-14 |