| NPI | 1396294518 |
|---|---|
| Doing Business As | HEALTHSOURCE OF PORTLAND EAST |
| Entity Type | Organization |
| Authorized Contact | ANTHONY Q PHAM Clinic Owner/Doctor 503-820-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5021) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |