Accident And Injury Care, Ps
Clinic/Center in Portland, OR. Organization (NPI-2).
NPI number1235593492
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1235593492
- Entity type
- Organization (NPI-2)
- Legal business name
- Accident And Injury Care, Ps
- Organization subpart
- No
- Enumeration date
- Apr 13, 2016
- Certification date
- Sep 26, 2022
- Last updated
- Sep 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 111N00000X | Chiropractor | 3718 | OR | |
| 111N00000X | Chiropractor | – | – |
Practice location
12417 Ne Glisan StPortland, OR 97230-2144
Phone 971-255-0301 · Fax 971-255-0343
Mailing address
12417 Ne Glisan StPortland, OR 97230-2144
Phone 971-255-0301
Authorized official
Kevin Martin
Owner
2063623344
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