NPI | 1619252723 |
---|---|
Doing Business As | BACK IN SHAPE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KEVIN M SEGAL President 503-788-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3287) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2023-12-01 |