| NPI | 1497438857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MACEDO Owner 503-544-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |