PORTLAND SPINE CENTER LLC

PORTLAND, OR
NPI1649682022
Entity TypeOrganization
Authorized ContactTHEODORE ROBERT LILLIE
Owner
503-282-7581
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  5123)
Enumeration Date2014-05-20
Last Update Date2014-05-20
Business Address
PORTLAND SPINE CENTER LLC
2106 NE 47TH AVE
PORTLAND, OR 97213-2064
Phone number: 503-282-7581
Mailing Address
PORTLAND SPINE CENTER LLC
2106 NE 47TH AVE
PORTLAND, OR 97213-2064
Phone number: 503-282-7581
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