| NPI | 1467874958 |
|---|---|
| Doing Business As | HEALTHSOURCE OF PORTLAND |
| Entity Type | Organization |
| Authorized Contact | MITCHELL VANCE Owner 207-780-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1862) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |