| NPI | 1851710818 |
|---|---|
| Other Name | ANTHONY R. ILLO, D.C. |
| Entity Type | Organization |
| Authorized Contact | ANTHONY R ILLO Owner 503-624-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 1609) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |