| NPI | 1194937722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE LAWRENCE FORCUM Owner 503-524-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician |
| Additional Taxonomies | 171100000X Acupuncturist |
| 174400000X Specialist | |
| 175F00000X Naturopath | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |