| NPI | 1780709527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN PETERSEN Chiropractor, Owner 503-445-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3688) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-04-29 |