Agile Chiropractic, PC
Clinic/Center in Hillsboro, OR. Organization (NPI-2).
NPI number1477814101
StatusActive
Last updated in NPPESMay 29, 2012
Details
- NPI
- 1477814101
- Entity type
- Organization (NPI-2)
- Legal business name
- Agile Chiropractic, PC
- Organization subpart
- No
- Enumeration date
- May 29, 2012
- Last updated
- May 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 3354 | OR | Yes |
Practice location
1895 Nw 188th AveHillsboro, OR 97006-6485
Phone 503-718-7161 · Fax 503-268-1691
Mailing address
1481 Ne Zachary StHillsboro, OR 97124-4058
Authorized official
Jaylene Lewis
Owner
5036217919
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