| NPI | 1689086670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL FARLOW Owner 503-410-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15194) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2017-01-09 |