| NPI | 1730239468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN INGRAM BERRY President Owner 503-526-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 651486) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |