C And C Chiropractic
Chiropractor in Beaverton, OR. Organization (NPI-2).
NPI number1154600567
StatusActive
Last updated in NPPESAug 16, 2011
Details
- NPI
- 1154600567
- Entity type
- Organization (NPI-2)
- Legal business name
- C And C Chiropractic
- Organization subpart
- No
- Enumeration date
- Aug 16, 2011
- Last updated
- Aug 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3215 | OR | Yes |
Practice location
17200 Nw Corridor CtSuite 100
Beaverton, OR 97006-3295
Phone 503-617-0906 · Fax 503-617-0949
Mailing address
17200 Nw Corridor CtSuite 100
Beaverton, OR 97006-3295
Phone 503-617-0906 · Fax 503-617-0949
Authorized official
Maria Estela Mandujano
Office Manager
5036170906
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