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PORTLAND, OR
NPI1467725895
Entity TypeOrganization
Authorized ContactSCOTT HAINES
Owner/Sole Proprietor
503-235-5484
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  3810)
Enumeration Date2012-02-15
Last Update Date2012-02-15
Business Address
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3942 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5242
Phone number: 503-235-5484
Mailing Address
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4644 NE ALBERTA CT
PORTLAND, OR 97218-1656
Phone number: