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1346298957
THEODORE L FORCUM
ASTORIA, OR
NPI
1346298957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: OR 272468)
Enumeration Date
2006-05-05
Last Update Date
2017-03-09
Business Address
Dr. THEODORE L FORCUM DC
3990 ABBEY LANE, B-102
ASTORIA, OR 97103
Phone number: 503-816-6581
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Mailing Address
Dr. THEODORE L FORCUM DC
10139 NW SKYLINE HEIGHTS DRIVE
PORTLAND, OR 97229-2641
Phone number: 503-816-6581
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