| NPI | 1851842025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY STENBERG Chiropractor 503-830-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MT CHI-CHI-LIC-4021) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |