| NPI | 1417385964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ELIAS VANCE Doctor Of Chiropractic/Sole Member 971-599-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 4017) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |