| NPI | 1841415783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM IRVING Member Owner 503-866-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3622) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10250) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |