| NPI | 1578847448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L HATHAWAY Secretary 503-256-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 1248) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3852) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2023-11-09 |