| NPI | 1487157756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILHELM Owner 503-836-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5628) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2019-09-03 |