| NPI | 1740946151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE ELLIS Owner 503-987-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-01-15 |