| NPI | 1427222025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN NIENABER Chiropractor/Owner 503-906-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273476) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |