| NPI | 1194937722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE LAWRENCE FORCUM Owner 503-524-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 171100000X Acupuncturist | |
| 175F00000X Naturopath | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-09-11 |