| NPI | 1700157120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNA R GOURLEY Office Manager 503-653-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: OR 2564) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |