| NPI | 1700027505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RUTH SCHACKER Owner 503-475-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3551) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2010-12-16 |