NPI | 1710224639 |
---|---|
Doing Business As | RIDGELINE CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT BODNER Chiropractic Physician 503-614-9561 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3993) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2013-01-11 |