| NPI | 1861754517 |
|---|---|
| Other Name | D'VIDA CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE WHITTAKER Owner 503-626-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4077) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01279) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2014-06-27 |