| NPI | 1427337211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN K BLYSS Owner/Physician 503-222-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2020-08-19 |