| NPI | 1942588785 |
|---|---|
| Other Name | MARY ANN TACK, DC |
| Entity Type | Organization |
| Authorized Contact | MARY ANN TACK Chiropractor/Owner 503-537-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X (Licence: OR 2863) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2020-06-19 |