| Embodied Chiropractic Llc | |
|
1715 E Burnside St Portland OR 97214-1531 | |
| (971) 271-2459 | |
| Not Available |
| Full Name | Embodied Chiropractic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1715 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Mandy Marziaz (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 9712712459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Chiropractic Llc 1304 Ne 73rd Ave Portland OR 97213-6113 Ph: () - | Embodied Chiropractic Llc 1715 E Burnside St Portland OR 97214-1531 Ph: (971) 271-2459 |
| NPI Number | 1457736670 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457736670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5638 (Oregon) | Primary |
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