| NPI | 1962844324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R. DOUGAL CEO 503-347-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3680) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13436) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |