| NPI | 1235302795 |
|---|---|
| Doing Business As | CHIROPRACTIC LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK RONALD JOHANSEN Owner 503-255-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: OR 271737) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2019-08-01 |