| NPI | 1316269947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOLTON President 503-236-9609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3983) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 3983) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2018-07-26 |