| NPI | 1225882012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HOLT Provider 971-332-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-10-07 |