HEALTHSOURCE OF SE PORTLAND

PORTLAND, OR
NPI1659792620
Entity TypeOrganization
Authorized ContactEDWARD KIMMI
Clinic Director
503-641-4244
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2013-12-18
Last Update Date2013-12-18
Business Address
HEALTHSOURCE OF SE PORTLAND
5424 SE 82ND AVE
PORTLAND, OR 97266-4811
Phone number: 503-774-1252
Mailing Address
HEALTHSOURCE OF SE PORTLAND
5424 SE 82ND AVE
PORTLAND, OR 97266-4811
Phone number: 503-774-1252
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