| NPI | 1235481615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEANNE SMITH-BIRCHEM Office Manager 503-342-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2503) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2013-02-20 |