| NPI | 1992835870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN L HEATER Office Manager 503-249-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: OR 27 3470) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |