| NPI | 1962632034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROBERT SIEGFRIED Chiropractor 503-472-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 1887) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-09-08 |