| NPI | 1922608819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON KEITH JOHNSON Owner 503-705-7477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |