| NPI | 1770938987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WEBER Owner 503-538-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 5027) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-01-30 |