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3531 Ne 15th Ave Ste E Portland OR 97212-2377 | |
(503) 546-9987 | |
(503) 546-9988 |
Full Name | |
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Speciality | Clinic/center |
Location | 3531 Ne 15th Ave Ste E, Portland, Oregon |
Authorized Official Name and Position | David G Higginson (CHIROPRACTOR) |
Authorized Official Contact | 5035469987 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3531 Ne 15th Ave Ste E Portland OR 97212-2377 Ph: (503) 546-9987 | 3531 Ne 15th Ave Ste E Portland OR 97212-2377 Ph: (503) 546-9987 |
NPI Number | 1790955003 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 06/13/2008 |
Identifier | Type | State | Issuer |
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1790955003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 3643 (Oregon) | Primary |
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