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1730348905
AVISTA CHIROPRACTIC LLC
PORTLAND, OR
NPI
1730348905
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Entity Type
Organization
Authorized Contact
JAN BENDER
Owner/Doctor
503-224-2425
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 273168)
Enumeration Date
2008-06-03
Last Update Date
2011-04-05
Business Address
AVISTA CHIROPRACTIC LLC
1201 SW 12TH AVE SUITE 600
PORTLAND, OR 97205-2046
Phone number: 503-224-2425
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Mailing Address
AVISTA CHIROPRACTIC LLC
1201 SW 12TH AVE SUITE 600
PORTLAND, OR 97205-2046
Phone number: 503-224-2425
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