PORTLAND CHIROPRACTIC GROUP INC NPI 1134393556

NPI Information

PORTLAND CHIROPRACTIC GROUP INC is a chiropractor in Portland, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PORTLAND CHIROPRACTIC GROUP INC NPI is 1134393556. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Portland Chiropractic Group.

The provider's business location address is:

2031 E BURNSIDE ST
PORTLAND, OR
ZIP 97214-649
Phone: (503) 224-2100
Fax: (503) 224-2129

The provider's authorized official is Randy L Hewitt .
The authorized official title is Doctor Of Chiropractic/owner and has the following contact phone number (503) 224-2100.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 1/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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