NPI | 1740535681 |
---|---|
Doing Business As | EASTSIDE SPINE & INJURY |
Entity Type | Organization |
Authorized Contact | BRIAN BLAKE SIMS President 503-654-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3930) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2019-12-16 |