| NPI | 1184835274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PRIVITERA President 503-774-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: OR 273094) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |