| NPI | 1992243034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MCCALL Owner 503-200-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273236) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5794) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |