Embodied Chiropractic LLC
Clinic/Center in Portland, OR. Organization (NPI-2).
NPI number1457736670
StatusActive
Last updated in NPPESJul 29, 2015
Details
- NPI
- 1457736670
- Entity type
- Organization (NPI-2)
- Legal business name
- Embodied Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2015
- Last updated
- Jul 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 5638 | OR | Yes |
Practice location
1715 E Burnside StPortland, OR 97214-1531
Phone 971-271-2459
Mailing address
1304 Ne 73rd AvePortland, OR 97213-6113
Authorized official
Mandy Marziaz
Owner/Chiropractor
9712712459
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