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Organization
NEWBERG SPINE AND SPORT LLC
Active
Organization
NEWBERG SPINE AND SPORT LLC
Active
Other names
Dundee Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MOORE (OWNER)
(503) 538-9119
Entity
Organization
Contact information
Practice address
2504 PORTLAND RD STE A, NEWBERG, OR 97132-1971
(503) 538-9119
Mailing address
2504 PORTLAND RD STE A, NEWBERG, OR 97132-1971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5127
OR
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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