NPI | 1326327404 |
---|---|
Former Legal Business Name | HICKEL CHIRIOPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM HICKEL Owner 503-786-7786 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 - 3057) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2011-08-08 |