| NPI | 1902936958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE E ESPINOZA President 503-647-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 3450) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-04-02 |