| NPI | 1215104385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK IABONI Doctor 503-656-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: OR 713327) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: OR 713327) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |